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Provider Directory
2017
San Diego County
Molina Healthcare of California
MolinaMarketplace.com
4964378CAMP 0517
Welcome to Molina Healthcare
This provider directory lists the providers contracted with Molina Healthcare to provide healthcare services to you. It is important to
remember that you must receive all health care services covered by Molina Healthcare from Participating facilities and/or providers.
If you have difficulty in reading or understanding this information, please contact Molina Healthcare Member Services at
1-888-858-2150 (TTY for the hearing impaired: 1-800-735-2989 or 711) for help. This information can be provided orally in
English, or in your primary language. Written translations may be available in certain languages and accommodations will be
made for the visually impaired.
Your Medical Home
One of the most important steps in taking care of your health is establishing a medical home. When you choose a primary care
provider (PCP), you are choosing a medical home. A PCP is the health care provider, such as a family doctor or pediatrician, who will
help you with most of your medical needs.
Your PCP will give you care, offer advice, and suggest Specialty Care when necessary, however referrals are not required to see a
specialist. It is important that you pick a PCP who meets your needs and whom you are comfortable with.
Picking a PCP is important. When you find a good PCP, you can develop a lasting relationship that will help to ensure a health care
partnership for years to come.
Choosing a Primary Care Provider (PCP)
Each member of Molina Healthcare must choose a PCP from Molina Healthcare s provider directory. The PCPs contracted with
Molina Healthcare are listed in this directory. Call Molina Healthcare Member Services to let them know which PCP you have selected
at 1-888-858-2150 (TTY for the hearing impaired: 1-800-735-2989 or 711). You can also call member services if you need help
choosing a PCP. A representative will be happy to assist you.
You can use the Internet to view the Molina Healthcare provider directory online at www.MolinaHealthcare.com. Did you know
that you can use the Internet for free at most public libraries? There are even a number of companies that allow you to set up free
email accounts. If you need help learning to use the Internet, ask your librarian.
If you do not choose a PCP, Molina Healthcare will choose one for you. When we make this choice for you, we will take your home
address, the language you speak and the providers your family members see into consideration. However, it is preferable that you pick
your own PCP. You are the person who can best make the decision.
Once you have a PCP, you should schedule a checkup soon, even if you are not sick. During the appointment, you will have a chance to
get to know your PCP and to ask a number of questions that will help you develop a good relationship. You can reach your PCP by
calling the PCP's office. Your PCP's name and telephone number are printed on your Molina Healthcare ID card.
Check the PCP listed on your ID card to be sure that it is correct. If the PCP on your ID card is not the PCP you are seeing, call
us. We will be sure that your provider is participating with Molina Healthcare and will send you an updated ID card. If you would
like to see a different PCP than the one listed on your ID card, call Molina Member Services and we will help you select a
participating provider.
If you would like to know more about your PCP or other Molina Healthcare providers, call Molina Member Services. We can provide
you with information about your provider's professional qualifications, such as medical school attended, residency completed, and
board certification status. We can also tell you the languages your provider speaks. You can also request this information by calling
your provider.
The information in this directory is current as of May 19, 2017 . The information listed in this directory is subject to change. If you have
any questions regarding the status of a particular provider, please contact Molina Healthcare Member Services at 1-888-858-2150 or
(TTY) at 1-800-735-2989 or 711. For the most current list of providers, please visit our website at www.MolinaHealthcare.com and
click on “Find a Provider.”
i
What if I Want to Change my Primary Care Provider?
You can change Your PCP at any time. All changes completed by the 25th of the month will be in effect on the first day of the following
calendar month. Any changes on or after the 26th of the month will be in effect on the first day of the second calendar month. But first
visit Your doctor. Get to know Your PCP before changing. Having a good relationship with Your PCP is important to Your health care.
Call the Customer Support Center if You want more information about Your Molina doctor.
If you wish to change the PCP Molina Healthcare chose for you and you call us within the first month of becoming a member, the
change will be effective the day you call. All other PCP changes are effective the first day of the following month. Molina Healthcare
will send you a new ID card to let you know that your PCP has been changed and the date you can start seeing the new PCP.
Self-Referral to Participating Providers
Always consult your PCP first. However, referrals are not required for you to access a Specialist Physician or Other Practitioner.
Federally Qualified Health Centers/Rural Health Clinics
You are entitled to access the services of any federally qualified health center (FQHC) or rural health clinic (RHC) providers. The list of
the FQHC and RHC providers in your region is included in this directory. Those providers listed with an asterisk (*) are contracted
providers with Molina Healthcare. You might also see providers from these facilities listed individually in other parts of this provider
directory.
Women's Health Specialists/Family Planning Providers
All female members may self-refer to certified nurse midwives (CNMs), obstetricians and gynecologists on Molina Healthcare's
provider panel. In addition, female members also may self-refer to women's health specialists on the Molina Healthcare panel for
routine and preventative health care services if their PCP is not a women's health specialist. For a list of women's health specialists on
Molina Healthcare's panel, please call Molina Member Services at 1-888-858-2150 (TTY for the hearing impaired: 1-800-735-2989 or
711).
You may self-refer to any Participating Provider, including but not limited to the following family planning providers. In addition, you
may self-refer to certain family planning providers in other counties. Please contact Molina Healthcare Member Services at
1-888-858-2150 (TTY for the hearing impaired: 1-800-735-2989 or 711) for more information regarding access to these services.
• Obstetricians and Gynecologists (OB/GYN): An OB/GYN is a provider who sees women only. OB/GYNs specialize in women's
health and maternity care.
• Certified Nurse Midwives (CNM): Nurses who have special training to help with pregnancy, labor and delivery.
• Qualified Family Planning Providers (QFPP): QFPPs provide pregnancy testing, other screenings and resources to help you
decide when to have a baby. Planned Parenthood is an example. You don't need to get a referral from your PCP for a visit to
Family Planning Services.
After-Hours or Non-Emergency Care
If your provider's office is closed or your provider cannot see you right away, there are some steps you can take to stop your injury or
illness from getting worse.
1. Call your PCP for advice. Even if your provider's office is closed, the office has someone available 24 hours a day, 7 days a week
who will let you know what to do.
2. If you cannot reach your provider's office, call Molina Healthcare's 24-Hour Nurse Advice Line at 1-888-275-8750 or
1-866-648-3537 (Español), (TTY for the hearing impaired: 1-888-665-4629). Nurses are always available to answer your
questions.
3. Go to a participating urgent care center listed in the Molina Healthcare provider directory. You do not need permission from a
provider to go to an urgent care center. If you visit an urgent care center, always call your PCP after your visit to schedule followup care.
Emergency Services
Emergency services are services for a medical problem that you think is so serious that it must be treated right away. We cover care for
emergencies both in and out of the county where you live. Emergency care is available 24 hours a day, 7 days a week.
Some examples of when emergency services are needed include:
The information in this directory is current as of May 19, 2017 . The information listed in this directory is subject to change. If you have
any questions regarding the status of a particular provider, please contact Molina Healthcare Member Services at 1-888-858-2150 or
(TTY) at 1-800-735-2989 or 711. For the most current list of providers, please visit our website at www.MolinaHealthcare.com and
click on “Find a Provider.”
ii
•
•
•
•
•
•
•
•
•
Miscarriage/pregnancy with vaginal bleeding
Seizures or convulsions
Unusual or excessive bleeding
Unconsciousness
Overdose / Poisoning
Severe burns
Broken bones
Chest pain
Difficulty breathing
If you are not sure whether you need to go to the emergency room, call your PCP or Molina Healthcare's 24-Hour Nurse Advice
Line at 1-888-275-8750 or 1-866-648-3537 (Español), (TTY for the hearing impaired: 1-800-735-2989). Your PCP or the Molina
Healthcare Nurse Advice Line can talk to you about your medical problem and give you advice on what you should do.
Remember, if you need emergency services:
• Go to the nearest hospital emergency room or other appropriate setting. Be sure to tell them that you are a member of Molina
Healthcare and show them your ID card.
• If the provider who is treating you for an emergency takes care of your emergency but thinks you need other medical care to
treat the problem that caused your emergency, the provider must call Molina Healthcare.
• After an emergency room visit, contact your PCP to make an appointment for follow-up care. Do not go to the emergency room
for follow-up care.
• If the hospital has you stay, please make sure that Molina Healthcare is called within 24 hours so that we can coordinate your
care.
If you are away from Molina Healthcare's service area and need emergency care, go to the nearest emergency room. You have the right
to go to any facility that provides emergency services.
For more information about your Molina Healthcare benefits and services, see your Molina Healthcare Member Handbook or call
member services at 1-888-858-2150 (TTY for the hearing impaired: 1-800-735-2989 or 711). A representative will be available to assist
you from 7:00 a.m. – 7:00 p.m. Monday through Friday.
The information in this directory is current as of May 19, 2017 . The information listed in this directory is subject to change. If you have
any questions regarding the status of a particular provider, please contact Molina Healthcare Member Services at 1-888-858-2150 or
(TTY) at 1-800-735-2989 or 711. For the most current list of providers, please visit our website at www.MolinaHealthcare.com and
click on “Find a Provider.”
iii
This list may change periodically, please check on our website or call for verification. Please be advised that if you choose a
noncontracted provider you will be responsible for any charges not covered by your health insurance plan.
You are strongly encouraged to contact us to verify the status of the providers involved in your care including, for example, the
anesthesiologist, radiologist, pathologist, facility, clinic or laboratory, when scheduling appointments or elective procedures to
determine whether each provider is a participating or nonparticipating provider. Such information may assist in your selection of
provider(s) and will likely affect the level of co-payment, deductible and amount of co-insurance applicable to the care you receive. The
information contained in this directory may change during your plan year. Please contact 1-888-858-2150 (TTY for the hearing
impaired: 1-800-735-2989 or 711) to learn more about the participating providers in your network and the implications, including
financial, if you decide to receive your care from nonparticipating providers.
Language Access Card
You have the right to get this information in a different format, such as audio, Braille, or large font due to special needs or in your
language at no additional cost.
Usted tiene derecho a recibir esta información en un formato distinto, como audio, braille, o letra grande, debido a necesidades
especiales; o en su idioma sin costo adicional.
English
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-858-2150 (TTY:
711).
Spanish
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-858-2150 (TTY:
711).
Chinese
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-858-2150(TTY:711)。
Vietnamese
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-858-2150 (TTY: 711).
Tagalog
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.
Tumawag sa 1-888-858-2150 (TTY: 711).
Korean
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-858-2150 (TTY: 711) 번으로
전화해 주십시오.
Armenian
ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ:
Զանգահարեք 1-888-858-2150 (TTY (հեռատիպ)՝ 711):
Persian (Farsi)
1-888-858-2150 (TTY: 711) ‫اب‬. ‫دینک تالیهست ینابز تروصب ناگیار ارب امش مهارف یم دشاب‬، ‫رگا هب نابز یسراف وگتفگ یم‬: ‫هجوت‬. ‫سامت دیریگب‬
Russian
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните
1-888-858-2150 (телетайп: 711 ).
Japanese
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。 1-888-858-2150(TTY: 711)まで、お電
話にてご連絡ください。
Arabic
‫لصتا مقرب‬. ‫ةغللا نإف تامدخ ةدعاسملا ةيوغللا رفاوتت كل ناجملاب‬، ‫اذإ تنك ثدحتت ركذا‬: ‫ ةظوحلم‬1-888-858-2150 (711:‫)مقر فتاه مصلا مكبلاو‬.
Punjabi
ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧਵਿੱ ਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-888-858-2150 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।
Cambodian (Mon-Khmer)
ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ , សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ 1-888-858-2150 (TTY: 711) ។
Hmong
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-888-858-2150 (TTY: 711).
Hindi
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-888-858-2150 (TTY: 711) पर कॉल करें।
Thai
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-888-858-2150 (TTY: 711).
The information in this directory is current as of May 19, 2017 . The information listed in this directory is subject to change. If you have
any questions regarding the status of a particular provider, please contact Molina Healthcare Member Services at 1-888-858-2150 or
(TTY) at 1-800-735-2989 or 711. For the most current list of providers, please visit our website at www.MolinaHealthcare.com and
click on “Find a Provider.”
iv
Primary Care Providers
Chula Vista
Clinic/Center
CHULA VISTA
El N El Inc A California Corp ❖
Clinic/Center
NPI: 1386681732
License Type: Clinic
320 Broadway Ste B
Chula Vista, CA 91910
(619) 447-7774
Board Certified: No
SAN DIEGO
San Diego American Indian
Health Center
Clinic/Center
NPI: 1003902917
License: 090000168
License Type: Clinic
2630 1st Ave
San Diego, CA 92103
(619) 234-2158
Mon 8:00 am-5:00 pm, Tue 9:00
am-6:00 pm, Wed-Thu 8:00
am-5:00 pm, Fri 9:00 am-5:00
pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Family Practice
ALPINE
Ayers, Jerry Daniel MD ❖
Family Practice
Gender: Male
NPI: 1104977602
License: A42793
License Type: PCP
1620 Alpine Blvd Ste 116
Alpine, CA 91901
(619) 445-6200
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Cardenas, Yolanda MD
Family Practice
Gender: Female
NPI: 1073511143
License: C137361
License Type: PCP
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Southern Indian Health
Council Inc
Board Certified: No
Accessibility: Limited, IB, P, W,
R, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Flores, Jill M MD
Rowat, Rita W MD
Family Practice
Gender: Female
NPI: 1528059276
License: A77198
License Type: PCP
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Accessibility: Limited, IB, P, W,
R, E
Mcreynolds, Jamie S MD
Family Practice
Gender: Female
NPI: 1407961121
License: G88566
License Type: PCP
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Accessibility: Limited, IB, P, W,
R, E
Packer, James A MD
Family Practice
Gender: Male
NPI: 1508027293
License: C34025
License Type: PCP
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Accessibility: Limited, IB, P, W,
R, E
Putrus, Ramiz MD
Family Practice
Gender: Male
NPI: 1144300534
License: A68184
License Type: PCP
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Physician's Language(s):
Spanish
❖
Family Practice
Gender: Female
NPI: 1619008026
License: G71634
License Type: PCP
1620 Alpine Blvd Ste 116
Alpine, CA 91901
(619) 445-6200
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Mountain
Health & Community Services
Board Certified: No
Spano, Franco MD
Family Practice
Gender: Male
NPI: 1669662797
License: G69705
License Type: PCP
1620 Alpine Blvd Ste 116
Alpine, CA 91901
(619) 445-6200
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Marcos
Borrero Md Inc
Board Certified: No
Physician's Language(s):
Spanish
CAMPO
Ayers, Jerry Daniel MD ❖
Family Practice
Gender: Male
NPI: 1104977602
License: A42793
License Type: PCP
31115 Highway 94
Campo, CA 91906
(619) 478-5311
Mon-Sat 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Flores, Jill M MD ❖
Family Practice
Gender: Female
NPI: 1528059276
License: A77198
License Type: PCP
36350 Church Rd
Campo, CA 91906
(619) 478-2225
Mon 8:00 am-4:30 pm, Wed-Fri
8:00 am-4:30 pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Campo
Mcreynolds, Jamie S MD
Family Practice
Gender: Female
NPI: 1407961121
License: G88566
License Type: PCP
36350 Church Rd
Campo, CA 91906
(619) 478-2225
Mon 8:00 am-4:30 pm, Wed-Fri
8:00 am-4:30 pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Packer, James A MD
Family Practice
Gender: Male
NPI: 1508027293
License: C34025
License Type: PCP
36350 Church Rd
Campo, CA 91906
(619) 478-2225
Mon 8:00 am-4:30 pm, Wed-Fri
8:00 am-4:30 pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Putrus, Ramiz MD
Family Practice
Gender: Male
NPI: 1144300534
License: A68184
License Type: PCP
36350 Church Rd
Campo, CA 91906
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Physician's Language(s):
Spanish
Rowat, Rita W MD
Family Practice
Gender: Female
NPI: 1619008026
License: G71634
License Type: PCP
31115 Highway 94
Campo, CA 91906
(619) 478-5311
Mon-Sat 8:00am-5:00pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Mountain
Health & Community Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
1
Primary Care Providers
Carlsbad
CARLSBAD
Sharma, Sanjeev MD ❖
Family Practice
Gender: Female
NPI: 1821072083
License: A75773
License Type: PCP
2690 Roosevelt St
Carlsbad, CA 92008
(760) 730-9992
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Hindi
CHULA VISTA
Alb, Ovidiu MD
Family Practice
Gender: Male
NPI: 1356335731
License: C52597
License Type: PCP
480 4th Ave Ste 202
Chula Vista, CA 91910
(619) 427-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clara Lucy
Polak Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Romanian
Accessibility: Limited, P, E, EB
Alb, Simona MD ❖
Family Practice
Gender: Female
NPI: 1578641874
License: A98085
License Type: PCP
480 4th Ave Ste 202
Chula Vista, CA 91910
(619) 427-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clara Lucy
Polak Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Romanian, Tagalog
Accessibility: Limited, P, E, EB
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Aljawadi, Georgia DO ❖
Flores, Maribel C MD
Family Practice
Gender: Female
NPI: 1013116714
License: 20A11376
License Type: PCP
480 4th Ave Ste 202
Chula Vista, CA 91910
(619) 427-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clara Lucy
Polak Md Inc
Board Certified: No
Accessibility: Limited, P, E, EB
Ancona Young, Corinne J DO
❖
Family Practice
Gender: Female
NPI: 1336168418
License: 20A6337
License Type: PCP
835 3rd Ave Ste C
Chula Vista, CA 91911
(619) 427-4661
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Corinne
Ancona Young Md
Board Certified: No
Physician's Language(s):
Spanish
Corsentino-matsumoto, Lisa
DO
Family Practice
Gender: Female
NPI: 1255441606
License: 20A6906
License Type: PCP
480 4th Ave Ste 202
Chula Vista, CA 91910
(619) 427-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clara Lucy
Polak Md Inc
Board Certified: No
Accessibility: Limited, P, E, EB
Elsayed, Mohammed K MD
Family Practice
Gender: Male
NPI: 1821033424
License: A100765
License Type: PCP
330 Oxford St Ste 106
Chula Vista, CA 91911
(619) 409-1802
Mon-Fri 9:00 am-2:00 pm
Affiliated Group(s):
Mohammed K Elsayed A
Proffesional Corporation
Board Certified: No
Physician's Language(s): Arabic
❖
Family Practice
Gender: Female
NPI: 1124104815
License: A95959
License Type: PCP
1637 Third Ave Ste B
Chula Vista, CA 91911
(619) 428-4463
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Gamboa, Rudolph Bearanthony MD
Family Practice
Gender: Male
NPI: 1902847932
License: A68222
License Type: PCP
340 4th Ave Ste 14
Chula Vista, CA 91910
(619) 937-9199
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Gopeng, Jennifer S MD
Family Practice
Gender: Female
NPI: 1184867806
License: A105644
License Type: PCP
480 4th Ave Ste 202
Chula Vista, CA 91910
(619) 427-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clara Lucy
Polak Md Inc
Board Certified: No
Accessibility: Limited, P, E, EB
Kabongo, Martin L MD
Family Practice
Gender: Male
NPI: 1033168810
License: A55012
License Type: PCP
865 Third Ave Ste 133
Chula Vista, CA 91911
(619) 428-4463
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Ucsd Medical Center
Affiliated Group(s): Center For
Family Health, Integrated
Health Partners, Ucsd Medical
Group
Board Certified: No
Lee, Yong L MD
Chula Vista
Family Practice
Gender: Male
NPI: 1013025915
License: A53089
License Type: PCP
1637 3rd Ave Ste B
Chula Vista, CA 91911
(619) 205-1360
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
Lee, Yong L MD
Family Practice
Gender: Male
NPI: 1013025915
License: A53089
License Type: PCP
865 3rd Ave Ste 133
Chula Vista, CA 91911
(619) 498-6200
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Matthews, Merritt S MD
Family Practice
Gender: Male
NPI: 1720024755
License: C31976
License Type: PCP
752 Medical Center Ct Ste 210
Chula Vista, CA 91911
(619) 656-0206
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Accessibility: Limited, IB, P
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
2
Primary Care Providers
Chula Vista
Mondragon Jr, Gustavo A MD
Family Practice
Gender: Male
NPI: 1770773434
License: A112588
License Type: PCP
752 Medical Center Ct Ste 210
Chula Vista, CA 91911
(619) 656-0206
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, IB, P
Osteen, Amanda K MD
Family Practice
Gender: Female
NPI: 1457612848
License: A127022
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Ucsd Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Pieros, Janelle J DO
Family Practice
Gender: Female
NPI: 1386935914
License: 20A13225
License Type: PCP
678 3rd Ave Ste B
Chula Vista, CA 91911
(619) 662-4100
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Polak, Clara MD
Family Practice
Gender: Female
NPI: 1790749208
License: A66649
License Type: PCP
480 4th Ave Ste 202
Chula Vista, CA 91910
(619) 427-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clara Lucy
Polak Md Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Accessibility: Limited, P, E, EB
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Rawi, Bashir A MD
Sanzone, Ronald D DO
Family Practice
Gender: Male
NPI: 1003964834
License: A48140
License Type: PCP
1323 3rd Ave
Chula Vista, CA 91911
(619) 409-6900
Affiliated Group(s): Gateway
Comprehensive Medical Group
Board Certified: No
Rawi, Bashir A MD
Family Practice
Gender: Male
NPI: 1003964834
License: A48140
License Type: PCP
256 Landis Ave Ste 202
Chula Vista, CA 91910
(619) 319-3996
Affiliated Group(s): Gateway
Comprehensive Medical Group
Board Certified: No
Rizkallah, Jean A MD
Family Practice
Gender: Female
NPI: 1003800368
License: A93296
License Type: PCP
450 4th Ave Ste 408
Chula Vista, CA 91910
(619) 691-1990
Affiliated Group(s): Jean A
Rizkallah Md Inc
Board Certified: No
Physician's Language(s):
Spanish, French
Accessibility: Limited, IB
Rodriguez, Natalie MD
Family Practice
Gender: Female
NPI: 1720270457
License: A98372
License Type: PCP
865 Third Ave
Chula Vista, CA 91911
(619) 428-4463
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
❖
Family Practice
Gender: Male
NPI: 1457393381
License: 20A4264
License Type: PCP
752 Medical Center Ct Ste 210
Chula Vista, CA 91911
(619) 656-0206
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Accessibility: Limited, IB, P
Serpas, Shaila MD
Family Practice
Gender: Female
NPI: 1124039136
License: G74728
License Type: PCP
678 3rd Ave
Chula Vista, CA 91910
(619) 662-4100
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Operation
Samahan
Board Certified: No
Serpas, Shaila MD
Family Practice
Gender: Female
NPI: 1124039136
License: G74728
License Type: PCP
865 3rd Ave Ste 133
Chula Vista, CA 91911
(619) 498-6200
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Operation
Samahan
Board Certified: No
Serpas, Shaila MD
Family Practice
Gender: Female
NPI: 1124039136
License: G74728
License Type: PCP
865 Third Ave
Chula Vista, CA 91911
(619) 428-4463
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Operation
Samahan
Board Certified: No
Chula Vista
Shahtaji, Alan P DO
Family Practice
Gender: Male
NPI: 1972751089
License: 20A11087
License Type: PCP
865 Third Ave
Chula Vista, CA 91911
(619) 428-4463
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Stillwell, Carla MD
Family Practice
Gender: Female
NPI: 1447540083
License: A114687
License Type: PCP
480 4th Ave Ste 202
Chula Vista, CA 91910
(619) 427-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clara Lucy
Polak Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Portugese, Tagalog
Accessibility: Limited, P, E, EB
Tamimi, Ziad MD
Family Practice
Gender: Male
NPI: 1568501674
License: C28773
License Type: PCP
450 Fourth Ave Ste 408
Chula Vista, CA 91910
(619) 691-1990
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Jean A
Rizkallah Md Inc, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
3
Primary Care Providers
Coronado
Toledo Nader, Caroll MD
Family Practice
Gender: Male
NPI: 1427126648
License: A41486
License Type: PCP
345 F St Ste 110
Chula Vista, CA 91910
(619) 422-1154
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Caroll
Toledo Nader Md, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, IB, W, E
Valladolid, Efrain T MD
Family Practice
Gender: Male
NPI: 1407051782
License: A61474
License Type: PCP
584 E St
Chula Vista, CA 91910
(619) 420-1378
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Whitley, Nicholas R MD
Family Practice
Gender: Male
NPI: 1629394721
License: A118250
License Type: PCP
340 4th Ave Ste 7
Chula Vista, CA 91910
(619) 428-4463
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
CORONADO
Byers-lund, Kimberly DO
Family Practice
Gender: Female
NPI: 1083754675
License: 20A7010
License Type: PCP
230 Prospect Pl Ste 340 B
Coronado, CA 92118
(619) 761-5308
Affiliated Group(s): Sharpcare
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Oen, Roger MD
EL CAJON
Family Practice
Akhtar, Radeeb MD
Gender: Male
Family Practice
NPI: 1710060165
Gender: Male
License: A85777
NPI: 1861838518
License Type: PCP
License: A134451
230 Prospect Pl Ste 340b
License Type: PCP
Coronado, CA 92118
165 S 1st St
(619) 522-4000
El Cajon, CA 92019
Mon 8:00 am-7:00 pm, Thu
(619) 312-0347
8:00 am-7:00 pm, Fri 8:00
Mon-Fri 8:30 am-5:30 pm
am-5:00 pm, Sat 8:00 am-12:00 Affiliated Group(s): La Maestra
pm
Family Clinic Inc
Affiliated Group(s): Sharpcare
Board Certified: No
Board Certified: No
Almansour, Mumtaz MD
Warm, Kenneth A MD
Family Practice
Family Practice
Gender: Male
Gender: Male
NPI: 1558567446
NPI: 1982783379
License: A55926
License: G38070
License Type: PCP
License Type: PCP
330 S Magnolia Ave Ste 101
230 Prospect Pl Ste 340b
El Cajon, CA 92020
Coronado, CA 92118
(619) 593-3007
(619) 522-4000
Mon 8:30 am-2:00 pm, Tue 1:00
Mon 8:00 am-7:00 pm, Thu
pm-5:30 pm, Wed 8:30 am-2:00
8:00 am-7:00 pm, Fri 8:00
pm, Thu 1:00 pm-5:30 pm, Fri
am-5:00 pm, Sat 8:00 am-12:00 8:30 am-1:00 pm
pm
Affiliated Hospital(s):
Affiliated Group(s): Sharpcare
Grossmont Hospital
Board Certified: No
Affiliated Group(s): East
Physician's Language(s):
County Family Health Center
Spanish
Dba Mumtoy Al Mansous Md,
La Maestra Family Clinic Inc
Wong, Jenny MD
Board Certified: No
Family Practice
Physician's Language(s):
Gender: Female
Spanish, Arabic
NPI: 1689837742
License: A96793
Ancona Young, Corinne J DO
License Type: PCP
❖
230 Prospect Pl Ste 340b
Family Practice
Coronado, CA 92118
Gender: Female
(619) 522-4000
NPI: 1336168418
Mon 8:00 am-7:00 pm, Thu
License: 20A6337
8:00 am-7:00 pm, Fri 8:00
License Type: PCP
am-5:00 pm, Sat 8:00 am-12:00 505 N Mollison Ave Ste 201
pm
El Cajon, CA 92021
Affiliated Group(s): Sharpcare
(619) 441-3550
Board Certified: No
Affiliated Hospital(s):
Physician's Language(s):
Grossmont Hospital, Sharp
Spanish
Memorial Hospital
Affiliated Group(s): Corinne
Ancona Young Md
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, W, E
❖
Chico, John MD
El Cajon
Family Practice
Gender: Male
NPI: 1407170038
License: A129507
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Gamboa, Rudolph Bearanthony MD
Family Practice
Gender: Male
NPI: 1902847932
License: A68222
License Type: PCP
165 S 1st St
El Cajon, CA 92019
(619) 312-0347
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Jahanpanah, Fereshteh (angela)
MD
Family Practice
Gender: Female
NPI: 1518034115
License: G65104
License Type: PCP
1333 E Main St
El Cajon, CA 92021
(619) 447-6001
Affiliated Group(s): Fereshteh
Jahanpanah Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Jalisi, Nejat A MD
Family Practice
Gender: Female
NPI: 1063651552
License: A105304
License Type: PCP
230 Avocado Ave
El Cajon, CA 92020
(619) 456-9800
Mon-Fri 8:00 am-5:30 pm
Affiliated Group(s): Emilys
Medical Group Apc
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
4
Primary Care Providers
Encinitas
Rouel, Linda Y MD
Family Practice
Gender: Female
NPI: 1326128950
License: A107575
License Type: PCP
860 Jamacha Rd Ste 107
El Cajon, CA 92019
(619) 456-9920
Affiliated Group(s): Jamacha
Urgent Medical Center
Board Certified: No
Rouel, Wadi MD
Family Practice
Gender: Male
NPI: 1740254713
License: C55979
License Type: PCP
860 Jamacha Rd Ste 107
El Cajon, CA 92019
(619) 456-9920
Affiliated Group(s): Jamacha
Urgent Medical Center
Board Certified: No
Physician's Language(s): Arabic
ENCINITAS
Chen, Bridget M MD
Family Practice
Gender: Female
NPI: 1780690297
License: A66849
License Type: PCP
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Jorgensen, Georgine MD
Family Practice
Gender: Female
NPI: 1992767214
License: A85136
License Type: PCP
477 N El Camino Real Ste A306
Encinitas, CA 92024
(760) 942-0118
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Greek
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Kurisu, Michael J DO
Soto, Alejandro MD ❖
Family Practice
Gender: Male
NPI: 1306861729
License: 20A9217
License Type: PCP
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center, Ucsd
Medical Group
Board Certified: No
ESCONDIDO
Ayers, Jerry Daniel MD
Family Practice
Gender: Male
NPI: 1104977602
License: A42793
License Type: PCP
255 N Ash St Ste 101
Escondido, CA 92027
(760) 745-5832
Mon-Thu 8:00 am-5:00 pm, Fri
8:30 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Heydt, John A MD
Family Practice
NPI: 1750461810
License: G64103
License Type: PCP
1121 E Washington Ave
Escondido, CA 92025
(760) 871-0606
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Jimenez Jr, Arsenio I MD
Family Practice
NPI: 1568416097
License: A60784
License Type: PCP
750 E Grand Ave Ste E
Escondido, CA 92025
(760) 233-0777
Affiliated Group(s): Molina
Medical Group Of Southern Ca
Board Certified: No
❖
Family Practice
NPI: 1881936268
License: A138577
License Type: PCP
1121 E Washington Ave
Escondido, CA 92025
(760) 871-0606
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Spano, Franco MD
Family Practice
Gender: Male
NPI: 1669662797
License: G69705
License Type: PCP
255 N Ash St Ste 101
Escondido, CA 92027
(760) 745-5832
Mon-Thu 8:00 am-5:00 pm, Fri
8:30 am-5:00 pm
Affiliated Group(s): Marcos
Borrero Md Inc
Board Certified: No
Physician's Language(s):
Spanish
FALLBROOK
Deel Misslbeck, Margaret G
MD
Family Practice
Gender: Female
NPI: 1124151360
License: C51529
License Type: PCP
593 E Elder St Ste B
Fallbrook, CA 92028
(760) 723-5900
Mon-Fri 10:00 am-8:00 pm, Sat
10:00 am-3:00 pm
Affiliated Group(s): Fallbrook
Medical Center
Board Certified: No
Physician's Language(s):
Spanish
Sharma, Minu MD
Family Practice
Gender: Female
NPI: 1316085632
License: A106195
License Type: PCP
1328 S Mission Rd
Fallbrook, CA 92028
(760) 451-4720
Affiliated Group(s):
Community Health Systems
Inc, Integrated Health Partners
Board Certified: No
National City
IMPERIAL BEACH
Richardson, Danielle M MD
Family Practice
Gender: Female
NPI: 1609142892
License: A127555
License Type: PCP
949 Palm Ave
Imperial Beach, CA 91932
(619) 429-3733
Mon-Thu 8:00am-8:00pm, Fri
8:00am-5:00pm, Sat
8:00am-12:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
LA JOLLA
Skavinski, Kira A DO
Family Practice
Gender: Female
NPI: 1073763546
License: 20A11792
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-7079
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Nassir, Azimi MD
Family Practice
Gender: Male
NPI: 1366438764
License: A91478
License Type: PCP
5565 Grossmont Center Dr
Bldg 3 Ste 455
La Mesa, CA 91942
(619) 462-9353
Affiliated Group(s): La Mesa
Cardiac Center A Medical
Group
Board Certified: No
NATIONAL CITY
Akhtar, Radeeb MD
Family Practice
Gender: Male
NPI: 1861838518
License: A134451
License Type: PCP
217 Highland Ave
National City, CA 91950
(619) 434-7308
Mon-Fri 8:30 am-6:00 pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
5
Primary Care Providers
Oceanside
Calderon, Marilyn MD
Family Practice
Gender: Female
NPI: 1144486713
License: A107518
License Type: PCP
2400 E 8th St Ste A
National City, CA 91950
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Carlson, Robert MD
Family Practice
Gender: Male
NPI: 1518289438
License: A111109
License Type: PCP
36 N Euclid Ave Ste C
National City, CA 91950
(619) 255-2950
Mon-Fri 1:00 pm-7:00 pm, Sat
8:00 am-8:00 pm
Affiliated Group(s): San
Antonio Family Medical Clinic
Inc, Vantage Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Gil, Francisco MD
Family Practice
Gender: Male
NPI: 1528037181
License: A47839
License Type: PCP
655 Euclid Ave Ste 405
National City, CA 91950
(619) 479-0822
Mon-Thu 8:00 am-4:30 pm, Fri
8:00 am-12:00 pm
Affiliated Hospital(s): Paradise
Valley Hospital
Affiliated Group(s): Francisco
Gil Professional Med Corp,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Gruber, Firozeh MD
Novencido, Joseph DO
Family Practice
Gender: Male
NPI: 1417968496
License: A55389
License Type: PCP
1136 D Ave
National City, CA 91950
(619) 336-2300
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Monarch
Health Plan Inc, San Ysidro
Health Center
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Matthews, Merritt S MD ❖
Family Practice
Gender: Male
NPI: 1720024755
License: C31976
License Type: PCP
610 Euclid Ave Ste 302
National City, CA 91950
(619) 527-7700
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Accessibility: Limited, P, E
Mondragon Jr, Gustavo A MD
Family Practice
Gender: Male
NPI: 1770773434
License: A112588
License Type: PCP
610 Euclid Ave Ste 302
National City, CA 91950
(619) 527-7700
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
Navarro, Vanessa M MD
Family Practice
Gender: Female
NPI: 1952563421
License: A113624
License Type: PCP
2400 E 8th St
National City, CA 91950
(619) 475-9401
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Tagalog
❖
Family Practice
Gender: Male
NPI: 1619239118
License: 20A13041
License Type: PCP
610 Euclid Ave Ste 302
National City, CA 91950
(619) 527-7700
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Accessibility: Limited, P, E
Sanzone, Ronald D DO ❖
Family Practice
Gender: Male
NPI: 1457393381
License: 20A4264
License Type: PCP
610 Euclid Ave Ste 302
National City, CA 91950
(619) 527-7700
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
Serpas, Shaila MD
Family Practice
Gender: Female
NPI: 1124039136
License: G74728
License Type: PCP
1136 D Ave
National City, CA 91950
(619) 336-2300
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Operation
Samahan
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Serpas, Shaila MD
Family Practice
Gender: Female
NPI: 1124039136
License: G74728
License Type: PCP
2835 Highland Ave Ste A
National City, CA 91950
(619) 474-5567
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Operation
Samahan
Board Certified: No
Oceanside
Shamani, Azam MD
Family Practice
Gender: Female
NPI: 1699906032
License: A109713
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Group(s): Dr A
Shamani Inc
Board Certified: No
Physician's Language(s):
Spanish, Farsi
OCEANSIDE
Epel, Arnold MD
Family Practice
Gender: Male
NPI: 1013943265
License: A34703
License Type: PCP
517 N Horne St
Oceanside, CA 92054
(760) 631-5009
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Nath, Devarshi MD
Family Practice
Gender: Male
NPI: 1275630618
License: C54157
License Type: PCP
3220 Mission Ave Ste 1
Oceanside, CA 92054
(760) 433-3155
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Nath, Devarshi MD
Family Practice
Gender: Male
NPI: 1275630618
License: C54157
License Type: PCP
605 Crouch St Bldg C
Oceanside, CA 92054
(760) 736-6767
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
6
Primary Care Providers
Ramona
Penn, Mark W MD
Family Practice
Gender: Male
NPI: 1639205255
License: G131027
License Type: PCP
818 Pier View Way
Oceanside, CA 92054
(760) 631-5250
Affiliated Group(s): Vista
Community Clinic
Board Certified: No
Physician's Language(s):
Spanish
Safi, Roozchehr MD
Family Practice
Gender: Female
NPI: 1659563641
License: A116562
License Type: PCP
605 Crouch St Bldg C
Oceanside, CA 92054
(760) 757-4566
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Stenzel, Loretta S MD
Family Practice
Gender: Female
NPI: 1144388729
License: C54030
License Type: PCP
517 N Horne St
Oceanside, CA 92054
(760) 631-5009
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
RAMONA
Nath, Devarshi MD
Family Practice
Gender: Male
NPI: 1275630618
License: C54157
License Type: PCP
217 Earlham St
Ramona, CA 92065
(760) 789-1223
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Ancona Young, Corinne J DO
SAN DIEGO
❖
Achar, Suraj A MD
Family Practice
Gender: Male
NPI: 1235167321
License: G80093
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ahn, Edward J MD
Family Practice
Gender: Male
NPI: 1093805103
License: A38304
License Type: PCP
7750 Dagget St Ste 108
San Diego, CA 92111
(858) 571-1004
Affiliated Group(s): Edward J
Ahn Md
Board Certified: No
Akhtar, Radeeb MD
Family Practice
Gender: Male
NPI: 1861838518
License: A134451
License Type: PCP
4060 Fairmount Ave
San Diego, CA 92105
(619) 280-4213
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Almansour, Mumtaz MD
Family Practice
Gender: Male
NPI: 1558567446
License: A55926
License Type: PCP
4060 Fairmount Ave
San Diego, CA 92105
(619) 280-4213
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): East
County Family Health Center
Dba Mumtoy Al Mansous Md,
La Maestra Family Clinic Inc
Board Certified: No
Physician's Language(s):
Spanish, Arabic
❖
Family Practice
Gender: Female
NPI: 1336168418
License: 20A6337
License Type: PCP
1568 6th Ave
San Diego, CA 92101
(619) 235-2600
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Corinne
Ancona Young Md
Board Certified: No
Physician's Language(s):
Spanish
Ascher, Ralph MD
Family Practice
Gender: Male
NPI: 1275543258
License: G8109
License Type: PCP
823 Gateway Center Way
San Diego, CA 92102
(619) 515-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Ayers, Jerry Daniel MD ❖
Family Practice
Gender: Male
NPI: 1104977602
License: A42793
License Type: PCP
316 25th St
San Diego, CA 92102
(619) 238-5551
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Biewenga, Melissa A MD
Family Practice
Gender: Female
NPI: 1700147352
License: A122243
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego
Biewenga, Melissa A MD
Family Practice
Gender: Female
NPI: 1700147352
License: A122243
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Biewenga, Melissa A MD
Family Practice
Gender: Female
NPI: 1700147352
License: A122243
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Bogart, Gary DO ❖
Family Practice
Gender: Male
NPI: 1851438329
License: 20A6243
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Boyd, James E MD
Family Practice
Gender: Male
NPI: 1811906654
License: A75335
License Type: PCP
3863 Claremont Dr
San Diego, CA 92117
(858) 500-2693
Affiliated Group(s): San Diego
Snf Hospitalists Inc
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
7
Primary Care Providers
San Diego
Brodsky, Mark MD
Family Practice
Gender: Male
NPI: 1346337904
License: C53623
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Mon-Wed 8:30am-5:30pm, Thu
9:00am-6:00pm, Fri
8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Brownell, Kristin J A MD
Family Practice
Gender: Female
NPI: 1134232259
License: A80154
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm, Sat
8:30 am-12:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Buckholz, Gary T MD
Family Practice
Gender: Male
NPI: 1174601702
License: A82836
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(858) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cardenas, Yolanda MD
Family Practice
Gender: Female
NPI: 1073511143
License: C137361
License Type: PCP
5160 Federal Blvd
San Diego, CA 92105
(619) 515-2454
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Southern Indian Health
Council Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Carson, Corey MD
Celebi, Julie MD
Family Practice
Gender: Male
NPI: 1245599778
License: A136616
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Carson, Corey MD
Family Practice
Gender: Male
NPI: 1245599778
License: A136616
License Type: PCP
4094 4th Ave
San Diego, CA 92103
(619) 515-2545
Mon-Thu 8:00am-9:00pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Carson, Corey MD
Family Practice
Gender: Male
NPI: 1245599778
License: A136616
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Casillas, Miguel A MD
Family Practice
Gender: Male
NPI: 1053676395
License: A119653
License Type: PCP
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
❖
Family Practice
Gender: Male
NPI: 1194080911
License: A128154
License Type: PCP
330 Lewis St Ste 400
San Diego, CA 92103
(619) 471-9260
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Chou, Bill DO
Family Practice
Gender: Male
NPI: 1730448101
License: 20A14794
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Coulson, Laura MD
Family Practice
Gender: Female
NPI: 1447308424
License: A76301
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Dao, Viet T MD
Family Practice
Gender: Male
NPI: 1861406225
License: A96409
License Type: PCP
6255 University Ave Ste A2
San Diego, CA 92115
(619) 583-0553
Mon 9:00am-5:00pm, Wed
9:00am-5:00pm, Fri
9:00am-5:00pm
Affiliated Group(s): Viet Trong
Dao Md Apmc
Board Certified: No
Physician's Language(s):
Vietnamese
San Diego
Dipaolo, Laura H MD
Family Practice
Gender: Female
NPI: 1326397936
License: A127058
License Type: PCP
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Edi, Rina S MD
Family Practice
Gender: Female
NPI: 1306105473
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Edmonds, Kyle P MD
Family Practice
Gender: Male
NPI: 1003044728
License: A121683
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Faustin, Marcia I MD
Family Practice
Gender: Female
NPI: 1013354190
License: A132562
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
8
Primary Care Providers
San Diego
Gil, Gabriel MD
Family Practice
Gender: Male
NPI: 1548361587
License: A85252
License Type: PCP
909 Cardiff St
San Diego, CA 92114
(619) 465-3121
Mon-Fri 9:00 am-5:00 pm, Sat
8:00 am-2:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Chula Vista Medical Center
Affiliated Group(s): Lomita
Family Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Gin, Geneen T DO ❖
Family Practice
Gender: Female
NPI: 1144255217
License: 20A9074
License Type: PCP
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gomez, Laura Elena Arce MD
Family Practice
Gender: Female
NPI: 1053532986
License: A123604
License Type: PCP
3811 El Cajon Blvd
San Diego, CA 92105
(619) 284-5622
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Gurtch, Tim P MD
Hamilton, Lisa DO ❖
Family Practice
Gender: Male
NPI: 1881694776
License: C50806
License Type: PCP
4276 54th Pl Ste A
San Diego, CA 92115
(619) 265-1070
Mon-Fri 8:00 am-5:00 pm, Sat
8:00 am-12:00 pm
Affiliated Group(s): Tim P
Gurtch Md Inc, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Russian
Gutierrez, Cecilia A MD ❖
Family Practice
Gender: Female
NPI: 1780600528
License: G78303
License Type: PCP
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hamilton, Lisa DO ❖
Family Practice
Gender: Female
NPI: 1235576059
License: 20A14772
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Tagalog
❖
Family Practice
Gender: Female
NPI: 1235576059
License: 20A14772
License Type: PCP
5160 Federal Blvd
San Diego, CA 92105
(619) 515-2454
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Tagalog
Hatamy, Esmatullah MD ❖
Family Practice
Gender: Male
NPI: 1659329837
License: A90147
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French, Urdu
Ikeda, Tyson S MD ❖
Family Practice
Gender: Male
NPI: 1801970157
License: G76582
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Jolley, Margaret A MD
Family Practice
Gender: Female
NPI: 1689019853
License: A136179
License Type: PCP
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Judd, Cambria MD
San Diego
Family Practice
Gender: Female
NPI: 1740549278
License: A13659
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kabongo, Martin L MD
Family Practice
Gender: Male
NPI: 1033168810
License: A55012
License Type: PCP
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 464-1608
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Ucsd Medical Center
Affiliated Group(s): Center For
Family Health, Integrated
Health Partners, Ucsd Medical
Group
Board Certified: No
Kabongo, Martin L MD
Family Practice
Gender: Male
NPI: 1033168810
License: A55012
License Type: PCP
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Ucsd Medical Center
Affiliated Group(s): Center For
Family Health, Integrated
Health Partners, Ucsd Medical
Group
Board Certified: No
Keflezighi, Bahghi R MD ❖
Family Practice
Gender: Male
NPI: 1124210844
License: A100391
License Type: PCP
823 Gateway Center Way
San Diego, CA 92102
(619) 515-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish, Tigrigna
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
9
Primary Care Providers
San Diego
Lauzon, Vanessa L MD
Family Practice
Gender: Female
NPI: 1457507709
License: A112525
License Type: PCP
350 Dickinson St
San Diego, CA 92103
(619) 543-2827
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Le, Tram B MD
Family Practice
Gender: Female
NPI: 1346442985
License: A105829
License Type: PCP
5507 El Cajon Blvd Ste L
San Diego, CA 92115
(619) 286-2789
Mon-Fri 9:00am-6:00pm, Sat
9:30am-1:00pm
Affiliated Group(s): Family
Medicine Clinic, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Vietnamese
Lee, Robert Y MD ❖
Family Practice
Gender: Male
NPI: 1457512071
License: A107544
License Type: PCP
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Levy, Emily M MD
Family Practice
Gender: Female
NPI: 1598108607
License: A139311
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Lillie, Dustin M MD
Marston, Jacqueline DO
Family Practice
Gender: Male
NPI: 1891739595
License: A81968
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6308
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lynch, Allison M MD
Family Practice
Gender: Female
NPI: 1598059651
License: A146262
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Malone, Dwight G MD
Family Practice
Gender: Male
NPI: 1134330590
License: G36242
License Type: PCP
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: Yes
Marquez, Luis M MD
Family Practice
Gender: Male
NPI: 1801865795
License: A45934
License Type: PCP
1901 4th Ave Ste 100
San Diego, CA 92101
(619) 236-8796
Mon-Thu 8:00 am-5:00 pm, Fri
8:00 am-12:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
❖
Family Practice
Gender: Female
NPI: 1417205055
License: 20A12402
License Type: PCP
6973 Linda Vista Rd
San Diego, CA 92111
(858) 279-9676
Mon 8:30 am-5:30 pm, Tue 8:30
am-9:00 pm, Wed-Fri 8:30
am-5:30 pm, Sat 9:00 am-4:00
pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Marston, Jacqueline DO ❖
Family Practice
Gender: Female
NPI: 1417205055
License: 20A12402
License Type: PCP
7011 Linda Vista Rd
San Diego, CA 92111
(858) 810-8700
Mon-Fri 8:30am-5:30pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Matthews, Merritt S MD
Family Practice
Gender: Male
NPI: 1720024755
License: C31976
License Type: PCP
286 Euclid Ave Ste 207
San Diego, CA 92114
(619) 527-7700
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Maynard, Gregory MD
Family Practice
Gender: Male
NPI: 1265460331
License: G86750
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9198
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Meyer, Robert S MD
Family Practice
Gender: Male
NPI: 1316997646
License: G076677
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Morris, Sheldon R MD ❖
Family Practice
Gender: Male
NPI: 1750548293
License: A88336
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nguyen, Huong T MD
Family Practice
Gender: Female
NPI: 1265506794
License: A34653
License Type: PCP
4444 El Cajon Blvd Ste 6
San Diego, CA 92115
(619) 285-1522
Mon-Fri 9:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Huong T
Nguyen Md
Board Certified: No
Physician's Language(s):
Spanish, Cantonese,
Vietnamese
Accessibility: Basic, IB, P, W, R,
E, EB
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
10
Primary Care Providers
San Diego
Nguyen, Tri Thuong MD
Family Practice
Gender: Male
NPI: 1962598425
License: G79496
License Type: PCP
4206 44th St
San Diego, CA 92115
(619) 624-9433
Affiliated Group(s): Tri Thuong
Nguyen Md
Board Certified: No
Physician's Language(s):
Vietnamese
Nguyen, Tri Thuong MD
Family Practice
Gender: Male
NPI: 1962598425
License: G79496
License Type: PCP
7345 Linda Vista Rd Ste A
San Diego, CA 92111
(858) 277-5463
Affiliated Group(s): Tri Thuong
Nguyen Md
Board Certified: No
Physician's Language(s):
Vietnamese
Novotny, Richard W MD
Family Practice
Gender: Male
NPI: 1588002877
License: A143811
License Type: PCP
330 Lewis St Ste 400
San Diego, CA 92103
(619) 471-9260
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Nuqui, Josie C MD
Family Practice
Gender: Female
NPI: 1184773673
License: A71544
License Type: PCP
10737 Camino Ruiz Ste 235
San Diego, CA 92126
(858) 578-4220
Mon-Sat 8:30 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Operation
Samahan
Board Certified: No
Physician's Language(s):
Tagalog
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Oboyle, Mary K MD
Osteen, Amanda K MD
Family Practice
Gender: Female
NPI: 1568487999
License: G73501
License Type: PCP
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Osborne, Chad N MD ❖
Family Practice
Gender: Male
NPI: 1982864773
License: A117348
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Osteen, Amanda K MD
Family Practice
Gender: Female
NPI: 1457612848
License: A127022
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Ucsd Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Osteen, Amanda K MD
Family Practice
Gender: Female
NPI: 1457612848
License: A127022
License Type: PCP
4094 4th Ave
San Diego, CA 92103
(619) 515-2545
Mon-Thu 8:00am-9:00pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Ucsd Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
❖
Family Practice
Gender: Female
NPI: 1457612848
License: A127022
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Ucsd Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Rahman, Akbar A MD ❖
Family Practice
Gender: Male
NPI: 1720314933
License: A110134
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rawi, Bashir A MD
Family Practice
Gender: Male
NPI: 1003964834
License: A48140
License Type: PCP
995 Gateway Center Way Ste
105
San Diego, CA 92102
(619) 264-1934
Affiliated Group(s): Gateway
Comprehensive Medical Group
Board Certified: No
Richardson, Danielle M MD
Family Practice
Gender: Female
NPI: 1609142892
License: A127555
License Type: PCP
1016 Outer Rd
San Diego, CA 92154
(619) 429-3733
Mon-Tue 8:00am-8:00pm, Wed
8:00am-5:00pm, Thu
8:00am-8:00pm, Fri
8:00am-5:00pm, Sat
8:00am-12:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
San Diego
Rivera Sanfeliz, Gerant MD
Family Practice
Gender: Male
NPI: 1851316178
License: G74921
License Type: PCP
200 West Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-2218
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Rosen, Rebecca L MD ❖
Family Practice
Gender: Female
NPI: 1497881486
License: A67987
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French
Rowat, Rita W MD
Family Practice
Gender: Female
NPI: 1619008026
License: G71634
License Type: PCP
10737 Camino Ruiz Ste 235
San Diego, CA 92126
(858) 578-4220
Mon-Sat 8:30 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Mountain
Health & Community Services
Board Certified: No
Saifi, Mirwais MD
Family Practice
Gender: Male
NPI: 1750516753
License: A120802
License Type: PCP
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 464-1608
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Center For
Family Health
Board Certified: No
Physician's Language(s): Farsi
Accessibility: Basic, IB, P, W, R,
E, EB
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
11
Primary Care Providers
San Diego
Sanzone, Ronald D DO
Family Practice
Gender: Male
NPI: 1457393381
License: 20A4264
License Type: PCP
286 Euclid Ave Ste 207
San Diego, CA 92114
(619) 527-7700
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Searles, Robert MD
Family Practice
Gender: Male
NPI: 1891807764
License: A79566
License Type: PCP
203 W F St Ste 203
San Diego, CA 92101
(619) 428-4463
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
Searles, Robert MD
Family Practice
Gender: Male
NPI: 1891807764
License: A79566
License Type: PCP
330 Lewis St Ste 400
San Diego, CA 92103
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Searles, Robert MD
Shumilak, Kaili J DO
Family Practice
Gender: Male
NPI: 1891807764
License: A79566
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
Shamani, Azam MD
Family Practice
Gender: Female
NPI: 1699906032
License: A109713
License Type: PCP
5555 Reservoir Dr Ste 312
San Diego, CA 92120
(619) 639-7285
Mon-Fri 8:00 am-4:30 pm
Affiliated Group(s): Dr A
Shamani Inc
Board Certified: No
Physician's Language(s):
Spanish, Farsi
Sheldon, Edward J MD
Family Practice
Gender: Male
NPI: 1639270689
License: A18160
License Type: PCP
909 Cardiff St
San Diego, CA 92114
(619) 465-3121
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Lomita
Family Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Shihata, Alfred A MD
Family Practice
Gender: Male
NPI: 1841225810
License: A37090
License Type: PCP
3802 National Ave
San Diego, CA 92113
(619) 264-2591
Affiliated Group(s): Clinica
Internacional Buena Salud Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
❖
Family Practice
Gender: Female
NPI: 1831489855
License: 20A12796
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Shumilak, Kaili J DO
Family Practice
Gender: Female
NPI: 1831489855
License: 20A12796
License Type: PCP
5160 Federal Blvd
San Diego, CA 92105
(619) 515-2454
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Skoblar, Eric S MD
Family Practice
Gender: Male
NPI: 1770509036
License: A82263
License Type: PCP
330 Lewis St
San Diego, CA 92103
(619) 471-9260
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sozanski, Jesse MD ❖
Family Practice
Gender: Male
NPI: 1437446622
License: A139018
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Spano, Franco MD
San Diego
Family Practice
Gender: Male
NPI: 1669662797
License: G69705
License Type: PCP
316 25th St
San Diego, CA 92102
(619) 238-5551
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Marcos
Borrero Md Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
Springer, Roy C MD ❖
Family Practice
Gender: Male
NPI: 1942497318
License: A23489
License Type: PCP
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 464-1608
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Center For
Family Health
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Taylor, Kenneth S MD ❖
Family Practice
Gender: Male
NPI: 1265458269
License: A55037
License Type: PCP
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
12
Primary Care Providers
San Marcos
Teguh, Collin DO
Family Practice
Gender: Male
NPI: 1639148828
License: 20A6332
License Type: PCP
2045 Adams Ave
San Diego, CA 92116
(619) 281-8988
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Yeung, Heidi N MD
Family Practice
Gender: Female
NPI: 1316125198
License: A103222
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Zarrinpar, Amir MD
Family Practice
Gender: Male
NPI: 1417110917
License: A110886
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Farsi
SAN MARCOS
Alvarez Martinez, Liliana MD
Family Practice
Gender: Female
NPI: 1790833119
License: A93797
License Type: PCP
727 W San Marcos Blvd Ste 112
San Marcos, CA 92078
(760) 736-8810
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish, Hmong, Russian
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Chen, Bridget M MD
Nath, Devarshi MD
Family Practice
Gender: Female
NPI: 1780690297
License: A66849
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Diaz, Ian MD
Family Practice
Gender: Male
NPI: 1023038411
License: C128213
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Esposito, Nicole E MD
Family Practice
Gender: Female
NPI: 1497880579
License: A91107
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
❖
Family Practice
Gender: Male
NPI: 1275630618
License: C54157
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Shi, Chih-wen MD
Family Practice
Gender: Female
NPI: 1982611372
License: A64049
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Tuteur, Jennifer M MD
Family Practice
Gender: Female
NPI: 1609952514
License: A61904
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Tuteur, Jennifer M MD
Family Practice
Gender: Female
NPI: 1609952514
License: A61904
License Type: PCP
727 W San Marcos Blvd Ste 112
San Marcos, CA 92078
(760) 736-8810
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
San Ysidro
SAN YSIDRO
Casillas, Miguel A MD
Family Practice
Gender: Male
NPI: 1053676395
License: A119653
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
Chu, Stephanie MD
Family Practice
Gender: Female
NPI: 1275760373
License: A116799
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish
De Leeuw, Kelley MD ❖
Family Practice
Gender: Female
NPI: 1720395361
License: A114857
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Johnson, Daniel W DO
Family Practice
Gender: Male
NPI: 1245311216
License: 20A9393
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
13
Primary Care Providers
Vista
Kabongo, Martin L MD
Family Practice
Gender: Male
NPI: 1033168810
License: A55012
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Ucsd Medical Center
Affiliated Group(s): Center For
Family Health, Integrated
Health Partners, Ucsd Medical
Group
Board Certified: No
Mears-clarke, Toussaint L MD
Family Practice
Gender: Male
NPI: 1477895936
License: A132566
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Nikzad, Jason DO
Family Practice
Gender: Male
NPI: 1508121674
License: 20A12653
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Propst, Tobe MD
Family Practice
Gender: Male
NPI: 1194814277
License: A82123
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Rodriguez, Natalie MD
Kurisu, Michael J DO
Family Practice
Gender: Female
NPI: 1720270457
License: A98372
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Shaffer, Mark A MD
Family Practice
Gender: Male
NPI: 1255436804
License: C42649
License Type: PCP
3364 Beyer Blvd Ste 102 & 103
San Ysidro, CA 92173
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
VISTA
Demenko, Aleksandr V MD
Family Practice
Gender: Male
NPI: 1073740007
License: A119839
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 9:00am-8:00pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Russian
Hurd, Melissa E MD ❖
Family Practice
Gender: Female
NPI: 1487643698
License: A61672
License Type: PCP
161 Thunder Dr Ste 103
Vista, CA 92083
(760) 758-1988
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Accessibility: Limited, P
❖
Family Practice
Gender: Male
NPI: 1306861729
License: 20A9217
License Type: PCP
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 598-1700
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center, Ucsd
Medical Group
Board Certified: No
Accessibility: Limited, P, R, E
Ochi, Steven K DO
Family Practice
Gender: Male
NPI: 1912290982
License: 20A11618
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Carlsbad
BORREGO SPRINGS
Borrego Community - Yaqui
Pass Rd*
Federally Qualified Health
Center (Fqhc)
NPI: 1134144165
License: 1518953
License Type: Clinic
4343 Yaqui Pass Rd
Borrego Springs, CA 92004
(760) 767-5051
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
CAMPO
Mountain Health - Campo*
Federally Qualified Health
Center (Fqhc)
NPI: 1881752608
License: 90000681
License Type: Clinic
31115 Highway 94
Campo, CA 91906
(619) 478-5311
Mon-Sat 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Federally Qualified Health Accessibility: Basic, IB, P, W, R,
Center (Fqhc)
E, EB
ALPINE
Southern Indian Health
Council - Campo*
Mountain Health - Alpine*
Federally Qualified Health
Federally Qualified Health
Center (Fqhc)
Center (Fqhc)
NPI: 1922090885
NPI: 1255499075
License Type: Clinic
License Type: Clinic
36350 Church Rd
1620 Alpine Blvd Ste 116
Campo, CA 91906
Alpine, CA 91901
(619) 478-2225
(619) 445-6200
Mon 8:00 am-4:30 pm, Wed-Fri
Mon-Fri 8:00am-5:00pm
8:00 am-4:30 pm
Affiliated Group(s): Integrated
Affiliated Group(s): Southern
Health Partners
Indian Health Council Inc
Board Certified: No
Board Certified: No
Southern Indian Health
CARLSBAD
Council - Alpine*
Federally Qualified Health
North County Health Services Center (Fqhc)
Carlsbad*
NPI: 1346247947
Federally Qualified Health
License Type: Clinic
Center (Fqhc)
4058 Willows Rd
NPI: 1255347704
Alpine, CA 91901
License Type: Clinic
(619) 445-1188
1295 Carlsbad Village Dr Ste
Mon-Fri 8:00am-4:30pm
100
Affiliated Group(s): Southern
Carlsbad, CA 92008
Indian Health Council Inc
(760) 720-7766
Board Certified: No
Affiliated Group(s): Integrated
Accessibility: Limited, IB, P, W, Health Partners
R, E
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
14
Primary Care Providers
Chula Vista
CHULA VISTA
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Ysidro Health Center - 3rd
Ave Chula Vista*
Federally Qualified Health
Center (Fqhc)
NPI: 1326486861
License Type: Clinic
678 3rd Ave
Chula Vista, CA 91910
(619) 662-4100
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Ysidro Health Center Otay Family 3rd Ave*
Federally Qualified Health
Center (Fqhc)
NPI: 1922051812
License Type: Clinic
1637 3rd Ave Ste B
Chula Vista, CA 91911
(619) 205-1360
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
EL CAJON
Borrego Community - West
Main St*
Federally Qualified Health
Center (Fqhc)
NPI: 1154480069
License: 550000430
License Type: Clinic
133 W Main St Ste 240
El Cajon, CA 92020
(619) 401-0404
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Family Health Center Of San
Neighborhood Healthcare - El
Diego Inc Clinic*
Cajon*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
1111 W Chase Ave
El Cajon, CA 92020
(619) 515-2499
Mon-Wed 8:30 am-5:30 pm, Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
La Maestra Family Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1033396346
License: 090000679
License Type: Clinic
1032 Broadway
El Cajon, CA 92021
(619) 795-5991
Mon-Fri 9:00 am-6:00 pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
La Maestra Family Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1033396346
License: 090000679
License Type: Clinic
165 S 1st St
El Cajon, CA 92019
(619) 312-0347
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
❖
Federally Qualified Health
Center (Fqhc)
NPI: 1760667950
License Type: Clinic
855 E Madison Ave
El Cajon, CA 92020
(619) 440-2751
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
ENCINITAS
North County Health Services 2nd St*
Federally Qualified Health
Center (Fqhc)
NPI: 1447267349
License Type: Clinic
1130 Second St
Encinitas, CA 92024
(760) 753-7842
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
ESCONDIDO
Borrego Community - E
Washington Ave*
Federally Qualified Health
Center (Fqhc)
NPI: 1023349883
License: 1518784
License Type: Clinic
1121 E Washington Ave
Escondido, CA 92025
(760) 871-0606
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Mountain Health - Ash St*
Federally Qualified Health
Center (Fqhc)
NPI: 1063613263
License Type: Clinic
255 N Ash St Ste 101
Escondido, CA 92027
(760) 745-5832
Mon-Thu 8:00 am-5:00 pm, Fri
8:30 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Escondido
Neighborhood Healthcare Date*
Federally Qualified Health
Center (Fqhc)
NPI: 1265618185
License: 1519340
License Type: Clinic
426 N Date St
Escondido, CA 92025
(760) 690-5900
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Neighborhood Healthcare Elm St Escondido*
Federally Qualified Health
Center (Fqhc)
NPI: 1598703647
License Type: Clinic
460 N Elm St
Escondido, CA 92025
(760) 520-8100
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Neighborhood Healthcare Ray M Dickinson Wellness
Center ❖*
Federally Qualified Health
Center (Fqhc)
NPI: 1437335353
License Type: Clinic
425 N Date St
Escondido, CA 92025
(760) 520-8330
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Neighborhood Healthcare Valley Parkway*
Federally Qualified Health
Center (Fqhc)
NPI: 1720264641
License Type: Clinic
728 E Valley Pkwy
Escondido, CA 92025
(760) 737-6900
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
15
Primary Care Providers
Fallbrook
Neighborhood Healthcare –
Grand*
Federally Qualified Health
Center (Fqhc)
NPI: 1487826772
License Type: Clinic
1001 E Grand Ave
Escondido, CA 92025
(760) 520-8200
Mon-Fri 8:00am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
FALLBROOK
Community Health Sys - S
Mission Rd*
Federally Qualified Health
Center (Fqhc)
NPI: 1982756086
License: 1519409
License Type: Clinic
1328 S Mission Rd
Fallbrook, CA 92028
(760) 451-4720
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Accessibility: Limited, P, R, E
IMPERIAL BEACH
Imperial Beach Community
Clinic - Palm Ave*
Federally Qualified Health
Center (Fqhc)
NPI: 1790718351
License: 090000119
License Type: Clinic
949 Palm Ave
Imperial Beach, CA 91932
(619) 429-3733
Mon-Thu 8:00am-8:00pm, Fri
8:00am-5:00pm, Sat
8:00am-12:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
JULIAN
Borrego Community Washington St*
Federally Qualified Health
Center (Fqhc)
NPI: 1700946969
License: 1519118
License Type: Clinic
2721 Washington St
Julian, CA 92036
(760) 765-1223
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Operation Samahan - 2835
LA MESA
Borrego Community - Fletcher Highland Ave ❖*
Federally Qualified Health
Way*
Federally Qualified Health
Center (Fqhc)
NPI: 1427268747
License: 550000430
License Type: Clinic
8881 Fletcher Pkwy Ste 200
La Mesa, CA 91942
(619) 464-6434
Mon-Fri 8:30 am-5:00 pm, Sat
9:00 am-12:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
LAKESIDE
Neighborhood Healthcare Lakeside*
Federally Qualified Health
Center (Fqhc)
NPI: 1932384120
License Type: Clinic
10039 Vine St
Lakeside, CA 92040
(619) 390-9975
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
LEMON GROVE
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
NATIONAL CITY
La Maestra Family Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1033396346
License: 090000679
License Type: Clinic
217 Highland Ave
National City, CA 91950
(619) 434-7308
Mon-Fri 8:30 am-6:00 pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
❖
Center (Fqhc)
NPI: 1275617169
License Type: Clinic
2835 Highland Ave Ste A
National City, CA 91950
(619) 474-5567
Affiliated Group(s): Operation
Samahan
Board Certified: No
Operation Samahan - National
City*
Federally Qualified Health
Center (Fqhc)
NPI: 1801907449
License: 1518853
License Type: Clinic
2743 Highland Ave
National City, CA 91950
(619) 474-2284
Mon-Sat 8:30 am-5:30 pm, Sun
9:00 am-1:00 pm
Affiliated Group(s): Operation
Samahan
Board Certified: No
San Ysidro Health Center - E
8th St*
Federally Qualified Health
Center (Fqhc)
NPI: 1598907487
License Type: Clinic
2400 E 8th St Ste A
National City, CA 91950
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
OCEANSIDE
North County Health Services Crouch St*
Federally Qualified Health
Center (Fqhc)
NPI: 1639185317
License Type: Clinic
605 Crouch St Bldg C
Oceanside, CA 92054
(760) 757-4566
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Oceanside
North County Health Services Mesa Dr*
Federally Qualified Health
Center (Fqhc)
NPI: 1255347894
License Type: Clinic
2210 Mesa Dr Ste 300
Oceanside, CA 92054
(760) 966-3306
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
North County Health Services Mission Ave*
Federally Qualified Health
Center (Fqhc)
NPI: 1720233893
License Type: Clinic
3220 Mission Ave Unit 1
Oceanside, CA 92054
(760) 433-3155
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Vista Community Clinic Horne*
Federally Qualified Health
Center (Fqhc)
NPI: 1437245412
License Type: Clinic
517 N Horne St
Oceanside, CA 92054
(760) 631-5009
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Vista Community Clinic North River*
Federally Qualified Health
Center (Fqhc)
NPI: 1689760100
License Type: Clinic
4700 N River Rd
Oceanside, CA 92057
(760) 631-5000
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Vista Community Clinic - Pier
View*
Federally Qualified Health
Center (Fqhc)
NPI: 1649363375
License Type: Clinic
818 Pier View Way
Oceanside, CA 92054
(760) 631-5250
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
16
Primary Care Providers
Pauma Valley
PAUMA VALLEY
Neighborhood Healthcare Pauma Valley*
Federally Qualified Health
Center (Fqhc)
NPI: 1407031693
License Type: Clinic
16650 Hwy 76
Pauma Valley, CA 92061
(760) 742-9919
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
RAMONA
North County Health Services Ramona*
Federally Qualified Health
Center (Fqhc)
NPI: 1073529681
License Type: Clinic
217 Earlham St
Ramona, CA 92065
(760) 789-1223
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
SAN DIEGO
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
1250 6th Ave Ste 100
San Diego, CA 92101
(619) 515-2430
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
140 Elm St
San Diego, CA 92101
(619) 515-2520
Mon 8:30 am-5:30 pm, Tue 8:30
am-7:00 pm, Wed-Fri 8:30
am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Family Health Center Of San
Family Health Center Of San
Diego Inc Clinic*
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
1550 Broadway Ste 2
San Diego, CA 92101
(619) 515-2525
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:15am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
2325 Commercial St Ste 1400
San Diego, CA 92113
(619) 515-2422
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
❖
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
2391 Island Ave
San Diego, CA 92102
(619) 515-2435
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
3514 30th St
San Diego, CA 92104
(619) 515-2323
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
3544 30th St
San Diego, CA 92104
(619) 515-2424
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
San Diego
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
4094 4th Ave
San Diego, CA 92103
(619) 515-2545
Mon-Thu 8:00am-9:00pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
5160 Federal Blvd
San Diego, CA 92105
(619) 515-2454
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm, Sat
8:30 am-12:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
17
Primary Care Providers
San Marcos
Imperial Beach Community
Clinic- Outer Rd*
Federally Qualified Health
Center (Fqhc)
NPI: 1215246996
License Type: Clinic
1016 Outer Rd
San Diego, CA 92154
(619) 429-3733
Mon-Tue 8:00am-8:00pm, Wed
8:00am-5:00pm, Thu
8:00am-8:00pm, Fri
8:00am-5:00pm, Sat
8:00am-12:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
La Maestra Family Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1033396346
License: 090000679
License Type: Clinic
4060 Fairmount Ave
San Diego, CA 92105
(619) 280-4213
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
La Maestra Family Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1033396346
License: 090000679
License Type: Clinic
4171 Fairmount Ave
San Diego, CA 92105
(619) 269-1269
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Logan Heights Family
Counseling Center ❖*
Federally Qualified Health
Center (Fqhc)
NPI: 1013952597
License: 550000024
License Type: Clinic
2204 National Ave
San Diego, CA 92113
(619) 515-2355
Mon 8:00am-5:00pm, Tue-Wed
8:00am-8:00pm, Thu-Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mountain Health - 25th St*
San Diego Family Care - MidFederally Qualified Health
city Polk Ave*
Center (Fqhc)
NPI: 1861603151
License Type: Clinic
316 25th St
San Diego, CA 92102
(619) 238-5551
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Operation Samahan - Camino
Ruiz*
Federally Qualified Health
Center (Fqhc)
NPI: 1871680397
License Type: Clinic
10737 Camino Ruiz Ste 235
San Diego, CA 92126
(858) 578-4220
Mon-Sat 8:30 am-5:00 pm
Affiliated Group(s): Operation
Samahan
Board Certified: No
San Diego Family Care - 7011
Linda Vista Rd*
Federally Qualified Health
Center (Fqhc)
NPI: 1457724858
License Type: Clinic
7011 Linda Vista Rd
San Diego, CA 92111
(858) 810-8700
Mon-Fri 8:30am-5:30pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish, Hmong, Tagalog,
Vietnamese
San Diego Family Care - Linda
Vista*
Federally Qualified Health
Center (Fqhc)
NPI: 1780665877
License: 80000069
License Type: Clinic
6973 Linda Vista Rd
San Diego, CA 92111
(858) 279-0925
Mon-Thu 8:30am-5:30pm, Fri
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
❖
Federally Qualified Health
Center (Fqhc)
NPI: 1306827332
License: 90000124
License Type: Clinic
4290 Polk Ave
San Diego, CA 92105
(619) 563-0250
Mon 8:00 am-5:00 pm, Tue 9:00
am-5:00 pm, Wed-Fri 8:00
am-5:00 pm, Sat 8:00 am-2:00
pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Diego Family Care -mid
City Peds*
Federally Qualified Health
Center (Fqhc)
NPI: 1962483040
License: 090000672
License Type: Clinic
4305 University Ave Ste 150
San Diego, CA 92105
(619) 280-2058
Mon-Fri 8:00 am-5:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Ysidro Health Center Ocean View Blvd*
Federally Qualified Health
Center (Fqhc)
NPI: 1326225632
License Type: Clinic
3177 Ocean View Blvd
San Diego, CA 92113
(619) 231-3200
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Ysidro Health Center - S
Euclid*
Federally Qualified Health
Center (Fqhc)
NPI: 1538262092
License: 90000560
License Type: Clinic
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Ysidro
St Vincent De Paul Village*
Federally Qualified Health
Center (Fqhc)
NPI: 1659415131
License: 090000297
License Type: Clinic
1501 Imperial Ave
San Diego, CA 92101
(619) 233-8500
Mon-Fri 8:30am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
SAN MARCOS
North County Health Services Valpreda San Marcos*
Federally Qualified Health
Center (Fqhc)
NPI: 1245246917
License: 080000630
License Type: Clinic
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
North County Health Services W San Marcos*
Federally Qualified Health
Center (Fqhc)
NPI: 1710152251
License Type: Clinic
727 W San Marcos Blvd Ste 112
San Marcos, CA 92078
(760) 736-8810
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
SAN YSIDRO
San Ysidro Health Center Beyer Blvd*
Federally Qualified Health
Center (Fqhc)
NPI: 1952364747
License: 01518819
License Type: Clinic
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
18
Primary Care Providers
Santee
San Ysidro Health Center Beyer Blvd*
Federally Qualified Health
Center (Fqhc)
NPI: 1952364747
License: 01518819
License Type: Clinic
4050 Beyer Blvd Ste 210
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 8:00 am-6:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Accessibility: Limited, IB, P, R,
E
San Ysidro Senior Health
Center - 3364 Beyer Blvd*
Federally Qualified Health
Center (Fqhc)
NPI: 1265843122
License Type: Clinic
3364 Beyer Blvd Ste 102 & 103
San Ysidro, CA 92173
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
SANTEE
Mountain Health - Santee*
Federally Qualified Health
Center (Fqhc)
NPI: 1932566395
License Type: Clinic
120 Town Center Pkwy
Santee, CA 92071
(619) 445-6200
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
SPRING VALLEY
Family Health Center Of San
Diego Inc Clinic*
Federally Qualified Health
Center (Fqhc)
NPI: 1447281936
License: 550001268
License Type: Clinic
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
VISTA
Vista Community Clinic Grapevine*
Federally Qualified Health
Center (Fqhc)
NPI: 1851300123
License Type: Clinic
134 Grapevine Rd
Vista, CA 92083
(760) 631-5030
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Vista Community Clinic - Vale
Terrace*
Federally Qualified Health
Center (Fqhc)
NPI: 1295822658
License: 080000510
License Type: Clinic
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
General Practice
ALPINE
Greenfield, Dwynn N DO
General Practice
Gender: Male
NPI: 1588716914
License: 20A8447
License Type: PCP
1620 Alpine Blvd Ste 116
Alpine, CA 91901
(619) 445-6200
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Mountain
Health & Community Services
Board Certified: No
Physician's Language(s):
Spanish
❖
CAMPO
Greenfield, Dwynn N DO
General Practice
Gender: Male
NPI: 1588716914
License: 20A8447
License Type: PCP
31115 Highway 94
Campo, CA 91906
(619) 478-5311
Mon-Sat 8:00am-5:00pm
Affiliated Group(s): Mountain
Health & Community Services
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
CHULA VISTA
Toledo, Abel C MD
General Practice
Gender: Male
NPI: 1518059799
License: A67360
License Type: PCP
330 Oxford St Ste 110
Chula Vista, CA 91911
(619) 427-7181
Mon-Fri 9:00 am-5:30 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Abel C
Toledo Md Inc, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
EL CAJON
Korkis, Ebtissam H MD
General Practice
Gender: Female
NPI: 1780746263
License: A89767
License Type: PCP
1530 Jamacha Rd Ste E & F
El Cajon, CA 92019
(619) 441-9200
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Ebtissam H
Korkis Md
Board Certified: No
Physician's Language(s): Arabic
Escondido
Moosavi, Mohammad (rey) N
MD
General Practice
Gender: Male
NPI: 1801972716
License: A35706
License Type: PCP
1333 E Main St
El Cajon, CA 92021
(619) 447-6001
Affiliated Group(s): Fereshteh
Jahanpanah Md Inc
Board Certified: No
Physician's Language(s):
Arabic, Farsi
ESCONDIDO
Lopez, Irma MD
General Practice
Gender: Female
NPI: 1538240908
License: G57022
License Type: PCP
750 E Grand Ave Ste B&c
Escondido, CA 92025
(760) 480-4747
Mon-Fri 9:00 am-6:00 pm, Sat
9:00 am-1:00 pm
Affiliated Group(s): Las Palmas
Medical Group Corp Dba
Valley Immediate Care
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, W, E
Watson, Thomas L MD
General Practice
Gender: Male
NPI: 1104865781
License: A52193
License Type: PCP
301 E Washington Ave Ste B
Escondido, CA 92025
(760) 480-9051
Mon-Tue 9:00 am-6:00 pm,
Wed 9:00 am-2:00 pm, Thu-Fri
9:00 am-6:00 pm, Sat 9:00
am-2:00 pm
Affiliated Group(s): Centro
Medico Del Carmen
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
19
Primary Care Providers
Jacumba
JACUMBA
Greenfield, Dwynn N DO
General Practice
Gender: Male
NPI: 1588716914
License: 20A8447
License Type: PCP
44460 Old Highway 80
Jacumba, CA 91934
(619) 766-4071
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Mountain
Health & Community Services
Board Certified: No
Physician's Language(s):
Spanish
LA MESA
Nawroski-wozniak, Joanna D
MD
General Practice
Gender: Female
NPI: 1609988476
License: A39627
License Type: PCP
7339 El Cajon Blvd Ste I
La Mesa, CA 91941
(619) 698-4003
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Venu
Prabaker Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Polish, Russian,
Vietnamese
SAN DIEGO
Bazick, Jessica MD
General Practice
Gender: Female
NPI: 1114155082
License: A121356
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Borrero, Marcos MD
Mirkarimi, Morteza MD
General Practice
Gender: Male
NPI: 1952312621
License: A38907
License Type: PCP
3490 Palm Ave
San Diego, CA 92154
(619) 423-5616
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Marcos
Borrero Md Inc
Board Certified: No
Physician's Language(s):
Spanish
Gerbatsch-bornemisza, Ildiko
C MD
General Practice
Gender: Female
NPI: 1134258148
License: A63645
License Type: PCP
3490 Palm Ave
San Diego, CA 92154
(619) 423-5616
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Marcos
Borrero Md Inc
Board Certified: No
Physician's Language(s):
Spanish, German, Hungarian
Ilfeld, Brian M MD
General Practice
Gender: Male
NPI: 1659399012
License: A61674
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Kehl, Devin MD
General Practice
Gender: Male
NPI: 1316253024
License: A118294
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
General Practice
Gender: Male
NPI: 1487757589
License: A39662
License Type: PCP
3863 Clairemont Dr
San Diego, CA 92117
(858) 483-5570
Mon-Fri 9:00 am-6:00 pm
Affiliated Group(s): Morteza
Mirkarimi Md Inc, Vantage
Medical Group
Board Certified: No
Patak, Lance MD
General Practice
Gender: Male
NPI: 1467613471
License: A124783
License Type: PCP
200 West Arbor Dr
San Diego, CA 92103
(619) 543-5754
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Recalde, Francisco J MD
General Practice
Gender: Male
NPI: 1538309067
License: C41872
License Type: PCP
3811 El Cajon Blvd
San Diego, CA 92105
(619) 284-5622
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Francisco J
Recalde Md, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish
Sidrick, Nadine E MD
General Practice
Gender: Female
NPI: 1134140718
License: G42131
License Type: PCP
5602 El Cajon Blvd
San Diego, CA 92115
(619) 582-5105
Mon-Fri 9:00 am-5:00 pm, Sat
9:00 am-3:00 pm
Affiliated Group(s): Colonial
Corner Medical Group Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Vo, Duc D MD
Vista
General Practice
Gender: Male
NPI: 1427096627
License: A43289
License Type: PCP
2418 Ulric St
San Diego, CA 92111
(858) 560-1226
Mon-Wed 9:00 am-6:00pm, Fri
9:00 am-6:00pm, Sat 9:00
am-2:00pm
Affiliated Group(s): Duc Dinh
Vo Md
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Woodward, Stephanie M MD
General Practice
Gender: Female
NPI: 1053435099
License: A103828
License Type: PCP
7910 Frost St Ste 450
San Diego, CA 92123
(858) 565-0104
Affiliated Group(s): San Diego
General And Vascular Surgeons
Medical Group Inc
Board Certified: No
VISTA
Mccammack, Bradley D MD
General Practice
Gender: Male
NPI: 1629368857
License: A130883
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Oliva, Carlos MD
General Practice
Gender: Male
NPI: 1891882239
License: A40155
License Type: PCP
1070 S Santa Fe Ave Ste 9
Vista, CA 92084
(760) 941-7050
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vista
Family Health Center
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
20
Primary Care Providers
Borrego Springs
Internal Medicine
BORREGO SPRINGS
Marsh, David G MD
Internal Medicine
Gender: Male
NPI: 1881685006
License: C35488
License Type: PCP
4343 Yaqui Pass Rd
Borrego Springs, CA 92004
(760) 767-5051
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Mary Birch Hospital For
Women, Sharp Memorial
Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
CHULA VISTA
De Carvalho, Carlos T MD
Internal Medicine
Gender: Male
NPI: 1518983543
License: A38504
License Type: PCP
340 4th Ave Ste 11
Chula Vista, CA 91910
(619) 422-6158
Affiliated Group(s): Clinica
Internacional Buena Salud Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Fink, Marsha G MD
Internal Medicine
Gender: Female
NPI: 1801892419
License: A54315
License Type: PCP
450 4th Ave Ste 408
Chula Vista, CA 91910
(619) 691-1990
Affiliated Group(s): Jean A
Rizkallah Md Inc
Board Certified: No
Accessibility: Limited, IB
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Fuentes, Maria G MD
Hassanein, Tarek I MD
Internal Medicine
Gender: Female
NPI: 1811070261
License: A83896
License Type: PCP
717 3rd Ave
Chula Vista, CA 91910
(619) 941-1545
Affiliated Group(s): Maria
Geraldina Fuentes Md Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Gilmore, Carol MD
Internal Medicine
Gender: Female
NPI: 1245264530
License: C41580
License Type: PCP
450 4th Ave Ste 408
Chula Vista, CA 91910
(619) 691-1990
Affiliated Group(s): Jean A
Rizkallah Md Inc
Board Certified: No
Accessibility: Limited, IB
Gutierrez, Julio A MD
Internal Medicine
NPI: 1801092440
License: A107985
License Type: PCP
256 Landis Ave Ste 204
Chula Vista, CA 91910
(619) 522-0399
Affiliated Group(s): Southern
California Liver Centers Inc
Board Certified: No
Hassanein, Tarek I MD
Internal Medicine
Gender: Male
NPI: 1801854450
License: A54452
License Type: PCP
1323 3rd Ave
Chula Vista, CA 91911
(619) 409-6900
Affiliated Group(s): Gateway
Comprehensive Medical Group,
Monarch Health Plan Inc,
Southern California Liver
Centers Inc, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, German
❖
Internal Medicine
Gender: Male
NPI: 1801854450
License: A54452
License Type: PCP
256 Landis Ave Ste 202
Chula Vista, CA 91910
(619) 522-0399
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Gateway
Comprehensive Medical Group,
Monarch Health Plan Inc,
Southern California Liver
Centers Inc, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, German
Heredia Martinez Jr, Hector
MD
Internal Medicine
Gender: Male
NPI: 1699882365
License: A50069
License Type: PCP
401 H St Ste 2
Chula Vista, CA 91910
(619) 420-1010
Mon-Fri 9:00 am-6:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Juarez-uribe, Joel MD
Internal Medicine
Gender: Male
NPI: 1912091067
License: C40571
License Type: PCP
374 H St Ste 101
Chula Vista, CA 91910
(619) 421-1228
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Kaisey, Mushrik MD
Internal Medicine
Gender: Male
NPI: 1386654010
License: A72963
License Type: PCP
340 4th Ave Ste 9
Chula Vista, CA 91910
(619) 426-9731
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Accessibility: Limited, R
Lopez, Jose R MD
Chula Vista
Internal Medicine
Gender: Male
NPI: 1568667228
License: A43301
License Type: PCP
2648 Main St Ste A
Chula Vista, CA 91911
(619) 575-5000
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Macias, Mariela N MD
Internal Medicine
Gender: Female
NPI: 1629235072
License: A102365
License Type: PCP
480 4th Ave Ste 209
Chula Vista, CA 91910
(619) 425-2080
Affiliated Group(s): Kousay A
Al Kourainy Md
Board Certified: No
Physician's Language(s):
Spanish
Mondragon, Gustavo A MD
Internal Medicine
Gender: Male
NPI: 1619080041
License: A40640
License Type: PCP
340 4th Ave Ste 10
Chula Vista, CA 91910
(619) 656-5252
Mon-Fri 9:00 am-6:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Gustavo A
Mondragon Md A Medical
Corporation
Board Certified: No
Physician's Language(s):
Spanish
Naidzionak, Uladzislau MD
Internal Medicine
Gender: Male
NPI: 1023246212
License: A135763
License Type: PCP
750 Medical Center Ct Ste 9
Chula Vista, CA 91911
(619) 421-6922
Tue 10:00 am-4:00 pm, Thu
10:00 am-4:00 pm
Affiliated Group(s): San Diego
Oncology Medical Clinic
Board Certified: No
Physician's Language(s):
Russian
Accessibility: Limited, IB, P
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
21
Primary Care Providers
Coronado
Valderrama, Arturo H MD ❖
Internal Medicine
Gender: Male
NPI: 1518054501
License: A74152
License Type: PCP
345 F St Ste 220
Chula Vista, CA 91910
(619) 397-5400
Mon 8:00 am-2:00 pm, Tue 8:00
am-6:00 pm, Wed 8:00 am-2:00
pm, Thu 8:00 am-6:00 pm, Fri
8:00 am-2:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
CORONADO
Hassanein, Tarek I MD
Internal Medicine
Gender: Male
NPI: 1801854450
License: A54452
License Type: PCP
230 Prospect Ave Ste 220
Coronado, CA 92118
(619) 522-0399
Affiliated Group(s): Gateway
Comprehensive Medical Group,
Monarch Health Plan Inc,
Southern California Liver
Centers Inc, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, German
Hassanein, Tarek I MD
Internal Medicine
Gender: Male
NPI: 1801854450
License: A54452
License Type: PCP
463 N Magnolia
Coronado, CA 92118
(619) 522-0399
Affiliated Group(s): Gateway
Comprehensive Medical Group,
Monarch Health Plan Inc,
Southern California Liver
Centers Inc, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, German
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Greci, Laura S MD
EL CAJON
Internal Medicine
Benson, Jimi O MD
Gender: Female
Internal Medicine
NPI: 1477560506
Gender: Male
License: A84395
NPI: 1477751667
License Type: PCP
License: A116611
1200 Garden View Rd Ste 200
License Type: PCP
Encinitas, CA 92024
5138 New Ranch Rd
(760) 634-6661
El Cajon, CA 92020
Affiliated Group(s): Uc San
(301) 466-1078
Diego
Cancer Center
Affiliated Group(s): Paradise
Board Certified: Yes
Valley Med Grp
Board Certified: Yes
Jaramillo, Mary MD
Physician's Language(s):
Internal Medicine
Spanish, Tagalog
Gender: Female
NPI: 1255361895
Gurpreet, Sihota DO
License: G62626
Internal Medicine
License Type: PCP
Gender: Female
1200 Garden View Rd Ste 200
NPI: 1659715852
Encinitas, CA 92024
License: 20A13700
(760) 634-6661
License Type: PCP
Affiliated Group(s): Uc San
525 E Main St
Diego
Cancer Center
El Cajon, CA 92020
Board Certified: No
(619) 515-2498
Mon-Fri 8:30am-5:30pm
Lakhera, Yogita MD
Affiliated Group(s): Family
Internal Medicine
Health Centers Of San Diego
Gender: Female
Inc
NPI: 1083972483
Board Certified: No
License: A125173
Physician's Language(s):
License Type: PCP
Punjabi
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
Toulouie, Elahe MD
(760) 509-1040
Internal Medicine
Affiliated Group(s): Balboa
Gender: Female
Nephrology Medical Group Inc
NPI: 1235197856
Board Certified: No
License: A73141
Physician's Language(s): Hindi
License Type: PCP
1580 N 2nd St
ESCONDIDO
El Cajon, CA 92021
Atchikova,
Elena MD
(619) 447-2425
Internal
Medicine
Affiliated Group(s): Elahe
Gender: Female
Toulouie Md Inc
NPI: 1851534853
Board Certified: Yes
License: A105610
License Type: PCP
ENCINITAS
555 E Valley Pkwy
Bharne, Anjali A MD
Escondido, CA 92025
Internal Medicine
(760) 739-2371
Gender: Female
Mon-Fri 8:00 am-5:00 pm
NPI: 1053519280
Affiliated Group(s):
License: A94639
Neighborhood Healthcare
License Type: PCP
Board Certified: Yes
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 536-7700
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
❖
Dashi, Arben MD
Escondido
Internal Medicine
Gender: Male
NPI: 1790055705
License: A119142
License Type: PCP
2185 W Citracado Pkwy
Escondido, CA 92029
(442) 281-5000
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Physician's Language(s):
Albanian
Feren, Robert A MD
Internal Medicine
Gender: Male
NPI: 1851453104
License: A89317
License Type: PCP
2185 W Citracado Pkwy
Escondido, CA 92029
(442) 281-5000
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Johnston, Ryan M DO
Internal Medicine
Gender: Male
NPI: 1780815522
License: 20A12236
License Type: PCP
2185 W Citracado Pkwy
Escondido, CA 92029
(442) 281-5000
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: Yes
Korabathina, Lavanya MD
Internal Medicine
Gender: Female
NPI: 1255577961
License: A119290
License Type: PCP
555 E Valley Pkwy
Escondido, CA 92025
(760) 739-2371
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: Yes
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
22
Primary Care Providers
Fallbrook
Poniachik, Samuel I MD
Internal Medicine
Gender: Male
NPI: 1467485078
License: G74757
License Type: PCP
555 E Valley Pkwy
Escondido, CA 92025
(760) 739-2371
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Palomar
Medical Center
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
Physician's Language(s):
Spanish
Repishti, Maltin MD
Internal Medicine
Gender: Male
NPI: 1811048291
License: C52417
License Type: PCP
555 E Valley Pkwy
Escondido, CA 92025
(760) 739-2371
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Seare, Tsehaye MD
Internal Medicine
Gender: Male
NPI: 1184725798
License: C53615
License Type: PCP
425 N Date St
Escondido, CA 92025
(760) 520-8200
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Physician's Language(s):
Spanish
Shigeno, Eric T MD
Internal Medicine
Gender: Male
NPI: 1619153970
License: A98801
License Type: PCP
1121 E Washington Ave
Escondido, CA 92025
(760) 871-0606
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Tolentino, Arturo M MD
Balu, Arthi MD
Internal Medicine
Gender: Male
NPI: 1609066018
License: A107809
License Type: PCP
425 N Date St
Escondido, CA 92025
(760) 737-6951
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: Yes
FALLBROOK
Kheradpour, Rabin MD
Internal Medicine
Gender: Male
NPI: 1093718462
License: A63649
License Type: PCP
1328 S Mission Rd
Fallbrook, CA 92028
(760) 451-4720
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vista
Community Clinic
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Accessibility: Limited, P, R, E
Reynolds, Richard J MD
Internal Medicine
Gender: Male
NPI: 1477518520
License: C36017
License Type: PCP
591 E Elder St Ste C
Fallbrook, CA 92028
(760) 731-8989
Affiliated Group(s): Southern
Califonia Physician Network
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
LA JOLLA
Albers, Unna MD ❖
Internal Medicine
Gender: Female
NPI: 1568495182
License: A61351
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Internal Medicine
Gender: Female
NPI: 1851738108
License: A133680
License Type: PCP
8939 Villa La Jolla Ste 110-0945
La Jolla, CA 92037
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Burgoyne, Adam M MD
Internal Medicine
Gender: Male
NPI: 1356638969
License: A123081
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Chen, Melinda A MD ❖
Internal Medicine
Gender: Female
NPI: 1942396197
License: A91243
License Type: PCP
8939 Villa La Jolla Dr Ste 110
La Jolla, CA 92037
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Cohen, David N MD
Internal Medicine
Gender: Male
NPI: 1184955767
License: A110351
License Type: PCP
9850 Genesee Ave Ste 940
La Jolla, CA 92037
(858) 658-0020
Affiliated Group(s): Cardiac
Arrhythmia Associates
Board Certified: No
La Jolla
Daniels, Nicholas MD ❖
Internal Medicine
Gender: Male
NPI: 1184670226
License: A60278
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
De La Zerda, David J MD
Internal Medicine
Gender: Male
NPI: 1245469923
License: A109197
License Type: PCP
9350 Campus Point Dr Ste 1d
La Jolla, CA 92037
(858) 657-5257
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Farber, Neil MD ❖
Internal Medicine
Gender: Male
NPI: 1043295363
License: G88003
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Friend, Peter S MD
Internal Medicine
Gender: Male
NPI: 1609825256
License: G22253
License Type: PCP
9850 Genesse Ave Ste 420
La Jolla, CA 92037
(858) 453-9460
Affiliated Group(s): Peter Sayre
Friend Md
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
23
Primary Care Providers
La Jolla
Grunvald, Eduardo MD ❖
Internal Medicine
Gender: Male
NPI: 1497791339
License: A65336
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hanson, Courtney MD
Internal Medicine
Gender: Female
NPI: 1609004191
License: A114225
License Type: PCP
8939 Villa La Jolla Ste 110-0945
La Jolla, CA 92037
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hofflich, Heather L DO ❖
Internal Medicine
Gender: Female
NPI: 1598962102
License: 20A8966
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Johnson, Benjamin F MD ❖
Internal Medicine
Gender: Male
NPI: 1396993291
License: A111648
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Lane, Thomas A MD
Mccarra, Matthew B MD
Internal Medicine
Gender: Male
NPI: 1649224395
License: G33070
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6849
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Le, Christina H MD ❖
Internal Medicine
Gender: Female
NPI: 1396725701
License: OD60244629
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lerman, Imanuel R MD
Internal Medicine
Gender: Male
NPI: 1205010030
License: A122217
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-5720
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ma, Lawrence MD
Internal Medicine
Gender: Male
NPI: 1487941696
License: A122325
License Type: PCP
8910 Villa La Jolla Dr Ste 110
La Jolla, CA 92037
(858) 496-4800
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
❖
Internal Medicine
Gender: Male
NPI: 1790049567
License: A127426
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mehta, Gita MD ❖
Internal Medicine
Gender: Female
NPI: 1538215264
License: A45647
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Moore, Alison A MD
Internal Medicine
Gender: Female
NPI: 1265452882
License: A49054
License Type: PCP
9350 Campus Point Dr Ste 2b
La Jolla, CA 92037
(858) 657-8440
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Moore, Lucy D MD
Internal Medicine
Gender: Female
NPI: 1558396135
License: A52582
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s):
Neighborhood Healthcare,
Ucsd Medical Group
Board Certified: No
Parker, Barbara A MD
La Jolla
Internal Medicine
Gender: Female
NPI: 1629093927
License: G49044
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ramsdell, Joe MD ❖
Internal Medicine
Gender: Male
NPI: 1376569111
License: C34803
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Randall, James M MD
Internal Medicine
Gender: Male
NPI: 1144407115
License: A99468
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rose, Brent S MD
Internal Medicine
Gender: Male
NPI: 1518250869
License: A142735
License Type: PCP
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-5257
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
24
Primary Care Providers
La Mesa
Schneider, Beacher G MD
Internal Medicine
Gender: Male
NPI: 1992140073
License: A133188
License Type: PCP
9300 Campus Point Dr
Inpatient
La Jolla, CA 92037
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sitapati, Amy M MD
Internal Medicine
Gender: Female
NPI: 1730261975
License: A70282
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Thomas, Colin M MD
Internal Medicine
Gender: Male
NPI: 1700849502
License: G78265
License Type: PCP
9350 Campus Point Dr Ste 2b
La Jolla, CA 92037
(858) 657-8440
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Wastila, Lisa MD
Internal Medicine
Gender: Female
NPI: 1043375231
License: A60801
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Wong, Melissa A MD
Prabaker, Venugopal MD
Internal Medicine
Gender: Female
NPI: 1952746372
License: A133868
License Type: PCP
9350 Campus Point Dr Ste Llb
La Jolla, CA 92037
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Yu, Pearl S MD ❖
Internal Medicine
Gender: Female
NPI: 1225079981
License: G74698
License Type: PCP
8939 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 657-8000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Bautista, Arwinnah MD
Internal Medicine
Gender: Female
NPI: 1073579173
License: C51221
License Type: PCP
8851 Center Dr Ste 100
La Mesa, CA 91942
(619) 463-9195
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Arwinnah
Bautista Md A Professional
Corporation, Paradise Valley
Med Grp, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Tagalog
Bugelli, Nicola C MD
Internal Medicine
NPI: 1760460695
License: A67439
License Type: PCP
5555 Grossmont Ctr Dr
La Mesa, CA 91942
(619) 740-4160
Affiliated Group(s): Nicola
Bugelli Md
Board Certified: No
❖
Internal Medicine
Gender: Male
NPI: 1467401042
License: A42653
License Type: PCP
7339 El Cajon Blvd Ste 1
La Mesa, CA 91942
(619) 698-0608
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Venu
Prabaker Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Tagalog, Thai
Shahbaz, Majid MD
Internal Medicine
Gender: Male
NPI: 1790966018
License: A50402
License Type: PCP
8851 Center Dr Ste 408
La Mesa, CA 91942
(619) 589-8626
Affiliated Group(s): Majid
Shahbaz Md Inc
Board Certified: No
Physician's Language(s): Farsi
Toulouie, Elahe MD
Internal Medicine
Gender: Female
NPI: 1235197856
License: A73141
License Type: PCP
5358 Jackson Dr Ste 1
La Mesa, CA 91942
(619) 993-8996
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Elahe
Toulouie Md Inc
Board Certified: Yes
NATIONAL CITY
Altavas, Valerie C MD
Internal Medicine
Gender: Female
NPI: 1245231174
License: C52243
License Type: PCP
655 Euclid Ave Ste 209
National City, CA 91950
(619) 470-7000
Affiliated Group(s): Valerie C
Altavas Md A Med Corp
Board Certified: Yes
Physician's Language(s):
Spanish, Tagalog
National City
Bautista, Arwinnah MD
Internal Medicine
Gender: Female
NPI: 1073579173
License: C51221
License Type: PCP
1430 E Plaza Blvd
National City, CA 91950
(619) 434-2813
Mon-Fri 10:30am-6:30pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Arwinnah
Bautista Md A Professional
Corporation, Paradise Valley
Med Grp, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Tagalog
Bautista, Arwinnah MD
Internal Medicine
Gender: Female
NPI: 1073579173
License: C51221
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Arwinnah
Bautista Md A Professional
Corporation, Paradise Valley
Med Grp, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Tagalog
Bautista, Arwinnah MD
Internal Medicine
Gender: Female
NPI: 1073579173
License: C51221
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Arwinnah
Bautista Md A Professional
Corporation, Paradise Valley
Med Grp, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Tagalog
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
25
Primary Care Providers
National City
Beckes, John D DO
Internal Medicine
Gender: Male
NPI: 1639118912
License: 20A6973
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Physician's Language(s):
Spanish, French
Beckes, John D DO
Internal Medicine
Gender: Male
NPI: 1639118912
License: 20A6973
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Physician's Language(s):
Spanish, French
Benson, Jimi O MD
Internal Medicine
Gender: Male
NPI: 1477751667
License: A116611
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: Yes
Physician's Language(s):
Spanish, Tagalog
Crouch, Terrence W MD ❖
Internal Medicine
Gender: Male
NPI: 1750579223
License: G47259
License Type: PCP
655 Euclid Ave Ste 401
National City, CA 91950
(619) 267-1556
Mon-Thu 8:30 am-4:30 pm, Fri
8:30 am-12:30 pm
Affiliated Group(s): Terence W
Crouch Md Inc
Board Certified: No
Accessibility: Limited, P
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Elias, Ramiz N MD
Hekmat, Razi D MD
Internal Medicine
Gender: Male
NPI: 1417164518
License: A99956
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Paradise
Valley Med Grp, Ramiz N Elias
Dba Contemporary Medicine A
Medical Inc, Vantage Medical
Group
Board Certified: Yes
Elias, Ramiz N MD
Internal Medicine
Gender: Male
NPI: 1417164518
License: A99956
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Paradise
Valley Med Grp, Ramiz N Elias
Dba Contemporary Medicine A
Medical Inc, Vantage Medical
Group
Board Certified: Yes
Hairston, Dorothy E MD
Internal Medicine
Gender: Female
NPI: 1114973633
License: A78226
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Hairston, Dorothy E MD
Internal Medicine
Gender: Female
NPI: 1114973633
License: A78226
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
❖
Internal Medicine
Gender: Male
NPI: 1871501205
License: A75886
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Hekmat, Razi D MD ❖
Internal Medicine
Gender: Male
NPI: 1871501205
License: A75886
License Type: PCP
610 Euclid Ave Ste 201
National City, CA 91950
(619) 267-8181
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Hekmat, Razi D MD
Internal Medicine
Gender: Male
NPI: 1871501205
License: A75886
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Kravetz, David MD
Internal Medicine
Gender: Male
NPI: 1205893476
License: A50036
License Type: PCP
1136 D Ave
National City, CA 91950
(619) 336-2300
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
National City
Patel, Nirali P MD
Internal Medicine
Gender: Female
NPI: 1891004305
License: A114139
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Patel, Nirali P MD
Internal Medicine
Gender: Female
NPI: 1891004305
License: A114139
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Patel, Sanket Kumar MD
Internal Medicine
Gender: Male
NPI: 1912134982
License: A119164
License Type: PCP
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Patel, Sanket Kumar MD
Internal Medicine
Gender: Male
NPI: 1912134982
License: A119164
License Type: PCP
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
26
Primary Care Providers
Oceanside
Prathipati, Kumara MD ❖
Internal Medicine
Gender: Male
NPI: 1538267778
License: A40438
License Type: PCP
502 S Euclid Ave
National City, CA 91950
(619) 267-0553
Mon-Fri 9:00 am-8:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Paradise
Valley Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Tagalog
Robinson, Jerome A MD
Internal Medicine
Gender: Male
NPI: 1376624718
License: A30815
License Type: PCP
1000 S Euclid Ave
National City, CA 91950
(619) 515-2399
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Southern California
Medical Clinic
Board Certified: Yes
Rough, Steven J MD
Internal Medicine
Gender: Male
NPI: 1386821460
License: A124001
License Type: PCP
1615 Sweetwater Rd Ste D
National City, CA 91950
(619) 474-2233
Mon 9:00 am-5:00 pm, Tue 1:00
pm-5:00 pm, Wed 9:00 am-5:00
pm, Thu-Fri 1:00 pm-5:00 pm
Affiliated Group(s): Steven
Jeffrey Rough Md
Board Certified: No
Rough, Steven J MD
Internal Medicine
Gender: Male
NPI: 1386821460
License: A124001
License Type: PCP
502 Euclid Ave Ste 104
National City, CA 91950
(619) 470-1945
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Steven
Jeffrey Rough Md
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Singhal, Bindu MD
Amirrezvani, Ali MD
Internal Medicine
Gender: Female
NPI: 1073546057
License: A78248
License Type: PCP
2340 E 8th St Ste B
National City, CA 91950
(858) 455-7657
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s): Hindi,
Punjabi
OCEANSIDE
Christy, Ilia C MD
Internal Medicine
Gender: Female
NPI: 1043226889
License: A85980
License Type: PCP
3220 Mission Ave Ste 1
Oceanside, CA 92054
(760) 433-3155
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
German
Pashmfouroush, Mohammad
MD
Internal Medicine
Gender: Male
NPI: 1699722397
License: A60730
License Type: PCP
2424 Vista Way Ste 300/301
Oceanside, CA 92054
(760) 630-1606
Affiliated Group(s): Tri City
Cardiology And Arrhythmia
Services
Board Certified: No
SAN DIEGO
Afshar, Pouya MD
Internal Medicine
Gender: Male
NPI: 1184958977
License: A107069
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Farsi
❖
Internal Medicine
Gender: Male
NPI: 1861485005
License: G88284
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Amundson, Stanley A MD
Internal Medicine
Gender: Male
NPI: 1003968009
License: G31072
License Type: PCP
4020 Fifth Ave 301
San Diego, CA 92103
(858) 678-6805
Affiliated Group(s): Mercy
Clinic
Board Certified: No
Andrade, Rosa M MD ❖
Internal Medicine
Gender: Female
NPI: 1093919680
License: A106912
License Type: PCP
4168 Front St 3rd Fl
San Diego, CA 92103
(619) 543-3995
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Antalan, Tessa M MD
Internal Medicine
Gender: Female
NPI: 1427346758
License: A130238
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Tagalog
San Diego
Asudani, Deepak G MD
Internal Medicine
Gender: Male
NPI: 1548208812
License: A100515
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Avalos, Joseph A MD
Internal Medicine
Gender: Male
NPI: 1912296971
License: A143574
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bajwa-dulai, Sonia T MD ❖
Internal Medicine
Gender: Female
NPI: 1336429711
License: A132228
License Type: PCP
4910 Directors Pl Ste 250
San Diego, CA 92121
(858) 249-5400
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bellars, Richard H MD
Internal Medicine
Gender: Male
NPI: 1225057839
License: A70606
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
27
Primary Care Providers
San Diego
Bitton-faiwiszewski, Yonatan M
MD
Internal Medicine
Gender: Male
NPI: 1558626796
License: A129133
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bordin-wosk, Talya S MD
Internal Medicine
Gender: Female
NPI: 1801184973
License: A123772
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Boss, Gerry MD
Internal Medicine
NPI: 1053346080
License: G33967
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(858) 534-8805
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bouland, Daniel L MD
Internal Medicine
Gender: Male
NPI: 1669498630
License: G50358
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Burgoyne, Adam M MD
Collins, William J MD
Internal Medicine
Gender: Male
NPI: 1356638969
License: A123081
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Chen, Tsuh Y MD
Internal Medicine
Gender: Female
NPI: 1093803520
License: C55563
License Type: PCP
823 Gateway Center Way
San Diego, CA 92102
(858) 565-2150
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Clay, Brian J MD
Internal Medicine
Gender: Male
NPI: 1831124635
License: A83799
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9198
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Collazo, Marcel R MD
Internal Medicine
Gender: Female
NPI: 1740449123
License: A140577
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 417-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Internal Medicine
Gender: Male
NPI: 1659689032
License: A117687
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cubas, Ivan P MD
Internal Medicine
Gender: Male
NPI: 1447464912
License: C55825
License Type: PCP
292 Euclid Ave Ste 115
San Diego, CA 92114
(619) 266-3332
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Physician's Language(s):
Spanish, Portugese
Dahms, Eric MD
Internal Medicine
NPI: 1306808464
License: G80316
License Type: PCP
4020 Fifth Ave 301
San Diego, CA 92103
(858) 678-6805
Affiliated Group(s): Mercy
Clinic
Board Certified: No
Daramola, Iyabo O MD
Internal Medicine
Gender: Male
NPI: 1851378236
License: A63633
License Type: PCP
2401 Reo Dr
San Diego, CA 92139
(619) 479-6767
Mon 9:00 am-5:00 pm, Tue 2:00
pm-8:00 pm, Wed-Fri 9:00
am-5:00 pm
Affiliated Group(s): Iyabo
Daramola Md Dba Caring
Hearts Med Clinic, Vantage
Medical Group
Board Certified: No
San Diego
De Carvalho, Carlos T MD
Internal Medicine
Gender: Male
NPI: 1518983543
License: A38504
License Type: PCP
2937 Beyer Blvd
San Diego, CA 92154
(619) 423-0343
Mon-Fri 9:00 am-5:30 pm
Affiliated Group(s): Clinica
Internacional Buena Salud Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
De Carvalho, Carlos T MD ❖
Internal Medicine
Gender: Male
NPI: 1518983543
License: A38504
License Type: PCP
3802 National Ave
San Diego, CA 92113
(619) 264-2591
Affiliated Group(s): Clinica
Internacional Buena Salud Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Deconde, Jennifer B MD ❖
Internal Medicine
Gender: Female
NPI: 1205064326
License: A108554
License Type: PCP
4910 Directors Pl Ste 250
San Diego, CA 92121
(858) 249-5400
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dekorte, Michele MD
Internal Medicine
Gender: Female
NPI: 1912183328
License: A97456
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
28
Primary Care Providers
San Diego
El-kareh, Robert E MD
Internal Medicine
Gender: Male
NPI: 1497944656
License: A112957
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Elahimehr, Reza MD
Internal Medicine
Gender: Male
NPI: 1750677522
License: A119841
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Farsi
Elias, Ramiz N MD
Internal Medicine
Gender: Male
NPI: 1417164518
License: A99956
License Type: PCP
7695 Cardinal Ct Ste 375
San Diego, CA 92123
(858) 384-6857
Mon 8:00 am-7:00 pm, TueWed 8:00 am-6:00 pm, Thu 8:00
am-7:00 pm, Fri 8:00 am-6:00
pm, Sat 9:00 am-6:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Paradise
Valley Med Grp, Ramiz N Elias
Dba Contemporary Medicine A
Medical Inc, Vantage Medical
Group
Board Certified: Yes
Firestein, Catherine E MD
Internal Medicine
Gender: Female
NPI: 1427348382
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Frederick, William J MD
Gupta, Vineet MD
Internal Medicine
Gender: Male
NPI: 1841592805
License: A123614
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gandhi, Nikhil MD
Internal Medicine
Gender: Male
NPI: 1609934538
License: A81799
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s):
Grossmont Hospital, Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gertser, Elaine MD ❖
Internal Medicine
Gender: Female
NPI: 1992719967
License: A56281
License Type: PCP
6367 Alvarado Ct Ste 202
San Diego, CA 92120
(619) 582-8055
Affiliated Group(s): Elaine
Gertser Md
Board Certified: No
Grunvald, Eugenio R MD
Internal Medicine
Gender: Male
NPI: 1942356662
License: C50471
License Type: PCP
995 Gateway Center Way Ste
202
San Diego, CA 92102
(619) 264-3107
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Clinica
Medica Delamora Inc
Board Certified: No
Accessibility: Limited, P, R, E
❖
Internal Medicine
Gender: Male
NPI: 1942431069
License: A129028
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Hindi
Han, Paul J MD
Internal Medicine
NPI: 1053553339
License: A116816
License Type: PCP
4020 Fifth Ave 301
San Diego, CA 92103
(858) 678-6805
Affiliated Group(s): Mercy
Clinic
Board Certified: No
Hassanein, Tarek I MD
Internal Medicine
Gender: Male
NPI: 1801854450
License: A54452
License Type: PCP
995 Gateway Center Way Ste
105
San Diego, CA 92102
(619) 264-1934
Affiliated Group(s): Gateway
Comprehensive Medical Group,
Monarch Health Plan Inc,
Southern California Liver
Centers Inc, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, German
Hayase, Justin H MD
Internal Medicine
Gender: Male
NPI: 1275896219
License: A127730
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego
Higginson, Michelle C MD
Internal Medicine
NPI: 1114955879
License: A74420
License Type: PCP
4020 Fifth Ave 301
San Diego, CA 92103
(858) 678-6805
Affiliated Group(s): Mercy
Clinic
Board Certified: No
Hood, Rodney MD
Internal Medicine
Gender: Male
NPI: 1033102959
License: G27791
License Type: PCP
292 Euclid Ave Ste 210
San Diego, CA 92114
(619) 262-7523
Affiliated Group(s): Alliance
Health Clinic Inc, Careview
Medical Group Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Hood, Rodney MD
Internal Medicine
Gender: Male
NPI: 1033102959
License: G27791
License Type: PCP
5952 El Cajon Blvd
San Diego, CA 92115
(619) 229-8030
Affiliated Group(s): Alliance
Health Clinic Inc, Careview
Medical Group Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Horman, Sarah F MD
Internal Medicine
Gender: Female
NPI: 1861657744
License: A110036
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6248
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
29
Primary Care Providers
San Diego
Huang, Yunsan MD
Internal Medicine
Gender: Female
NPI: 1306095963
License: A128784
License Type: PCP
330 Lewis St Ste 301
San Diego, CA 92103
(619) 471-9250
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Jacobs, Miriam T MD
Internal Medicine
Gender: Female
NPI: 1619225844
License: A132909
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Jami, Humaira MD
Internal Medicine
Gender: Female
NPI: 1336403195
License: A127980
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Farsi
Jassal, Simerjot MD
Internal Medicine
Gender: Female
NPI: 1689698052
License: A70679
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Jenkins, Ian H MD
Kranz, April M MD
Internal Medicine
Gender: Male
NPI: 1992762520
License: A87009
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9198
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Jenks, Jeffrey D MD
Internal Medicine
Gender: Male
NPI: 1972824423
License: A125266
License Type: PCP
330 Lewis St
San Diego, CA 92103
(619) 471-9250
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kahn, Andrew M MD
Internal Medicine
Gender: Male
NPI: 1841247384
License: A78646
License Type: PCP
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kantor, Molly Anne Marie MD
Internal Medicine
Gender: Male
NPI: 1467719112
License: A126513
License Type: PCP
200 West Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Internal Medicine
Gender: Female
NPI: 1205014560
License: A99888
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Kravetz, David MD
Internal Medicine
Gender: Male
NPI: 1205893476
License: A50036
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:15am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
Kravetz, David MD
Internal Medicine
Gender: Male
NPI: 1205893476
License: A50036
License Type: PCP
3177 Ocean View Blvd
San Diego, CA 92113
(619) 231-9300
Mon-Fri 8:00 am-6:30 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Laxmisan, Archana MD
Internal Medicine
Gender: Female
NPI: 1689841686
License: C56078
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Le, Charles N MD ❖
Internal Medicine
Gender: Male
NPI: 1821243759
License: A124891
License Type: PCP
4440 Euclid Ave
San Diego, CA 92115
(619) 521-6812
Affiliated Group(s): Charles N
Le, Ikidney Care Clinic
Board Certified: No
Lee, Emmet W MD
Internal Medicine
Gender: Male
NPI: 1558326801
License: A50563
License Type: PCP
6155 Cornerstone Ct E Ste 220
San Diego, CA 92121
(858) 458-2992
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s): Palomar
Medical Group Inc
Board Certified: No
Letendre, Scott MD
Internal Medicine
Gender: Male
NPI: 1588696660
License: A63591
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Li, Steven MD ❖
Internal Medicine
Gender: Male
NPI: 1487673034
License: A72097
License Type: PCP
4910 Directors Pl Ste 250
San Diego, CA 92121
(858) 249-5400
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
30
Primary Care Providers
San Diego
Liang, Ni Cheng MD
Internal Medicine
Gender: Female
NPI: 1760666945
License: A98510
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(858) 657-7105
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lichtenstein, Bernard MD
Internal Medicine
Gender: Male
NPI: 1104878073
License: A37396
License Type: PCP
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 464-1608
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Center For
Family Health
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Ma, Lawrence MD
Internal Medicine
Gender: Male
NPI: 1487941696
License: A122325
License Type: PCP
330 Lewis St
San Diego, CA 92103
(619) 471-9250
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
Ma, Lawrence MD
Internal Medicine
Gender: Male
NPI: 1487941696
License: A122325
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(858) 496-4800
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Marsh, David G MD
Mccarra, Matthew B MD
Internal Medicine
Gender: Male
NPI: 1881685006
License: C35488
License Type: PCP
3131 Berger Ave Ste 200
San Diego, CA 92123
(858) 244-6800
Mon-Fri 12:00 am-12:00 am
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Mary Birch Hospital For
Women, Sharp Memorial
Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Marston, Nicholas A MD
Internal Medicine
Gender: Male
NPI: 1851655617
License: A128488
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Martin, Leslie M MD
Internal Medicine
Gender: Female
NPI: 1306895495
License: G079006
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Cantonese
Mathews, William MD ❖
Internal Medicine
Gender: Male
NPI: 1194773259
License: G32447
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 428-4463
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
❖
Internal Medicine
Gender: Male
NPI: 1790049567
License: A127426
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mcgee, Devon M MD
Internal Medicine
Gender: Male
NPI: 1801183256
License: A123353
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Millen, Marlene M MD ❖
Internal Medicine
Gender: Female
NPI: 1225101355
License: A82559
License Type: PCP
4910 Directors Pl Ste 250
San Diego, CA 92121
(858) 249-5400
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Montazeri, Michael MD
Internal Medicine
Gender: Male
NPI: 1538115258
License: A90721
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9198
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Moore, Lucy D MD
San Diego
Internal Medicine
Gender: Female
NPI: 1558396135
License: A52582
License Type: PCP
1501 Imperial Ave
San Diego, CA 92101
(619) 233-8500
Mon-Fri 8:30am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s):
Neighborhood Healthcare,
Ucsd Medical Group
Board Certified: No
Moyo, Steven C MD
Internal Medicine
Gender: Male
NPI: 1720354095
License: A137142
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7900
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Naidzionak, Uladzislau MD
Internal Medicine
Gender: Male
NPI: 1023246212
License: A135763
License Type: PCP
7930 Frost St Ste 405
San Diego, CA 92123
(858) 571-2811
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): San Diego
Oncology Medical Clinic
Board Certified: No
Physician's Language(s):
Russian
Nanduri, Ramachander MD
Internal Medicine
Gender: Male
NPI: 1093721896
License: C50916
License Type: PCP
995 Gateway Center Way Ste
202
San Diego, CA 92102
(619) 264-3107
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Clinica
Medica Delamora Inc
Board Certified: No
Accessibility: Limited, P, R, E
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
31
Primary Care Providers
San Diego
Nguyen, Tan T MD
Internal Medicine
Gender: Male
NPI: 1609839299
License: G67119
License Type: PCP
302 Washington St Ste 116
San Diego, CA 92103
(858) 754-1114
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Nr Medical
Associates
Board Certified: No
Nguyen, Tue T MD
Internal Medicine
Gender: Male
NPI: 1548226178
License: A49831
License Type: PCP
4551 El Cajon Blvd
San Diego, CA 92115
(619) 280-7185
Mon-Wed 9:00 am-5:00 am,
Thu 9:00 am-1:00 am, Fri 9:00
am-5:00 am, Sat 8:00 am-1:00
pm
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Vietnamese
Obrzut, Sebastian MD
Internal Medicine
Gender: Male
NPI: 1083714398
License: A85028
License Type: PCP
200 West Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-2218
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Polish
Orourke, Courtney E DO
Internal Medicine
Gender: Female
NPI: 1730118886
License: 20A11824
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Pan, Samuel C MD
Potenza, Bruce M MD
Internal Medicine
Gender: Male
NPI: 1871728741
License: A120617
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
Permutt, Zack MD
Internal Medicine
Gender: Male
NPI: 1912297375
License: A119583
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Popa, Alina S MD
Internal Medicine
Gender: Female
NPI: 1003893348
License: A107794
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9185
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
German, Romanian
Popa, Remus I MD
Internal Medicine
Gender: Male
NPI: 1265419519
License: A107795
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French, Romanian
❖
Internal Medicine
Gender: Male
NPI: 1548281496
License: G77333
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Prathipati, Lakshmi MD
Internal Medicine
Gender: Female
NPI: 1245338490
License: A47821
License Type: PCP
2332 Reo Dr
San Diego, CA 92139
(619) 267-0553
Mon-Fri 9:30 am-6:30 pm, Sat
9:00 am-1:00 pm
Affiliated Group(s): Kumara
Prathipati Md Inc, Vantage
Medical Group
Board Certified: No
Prathipati, Lakshmi MD
Internal Medicine
Gender: Female
NPI: 1245338490
License: A47821
License Type: PCP
4276 54th Pl Ste B
San Diego, CA 92115
(619) 286-3222
Mon-Fri 9:00 am-5:00 pm, Sat
10:00 am-2:00 pm
Affiliated Group(s): Kumara
Prathipati Md Inc, Vantage
Medical Group
Board Certified: No
Presente, Asaf MD
Internal Medicine
Gender: Male
NPI: 1497944805
License: A99158
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(858) 657-7125
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Preziosi, Michael J MD
Internal Medicine
Gender: Male
NPI: 1942485883
License: A99585
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3995
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Quartarolo, Jennifer M MD
Internal Medicine
Gender: Female
NPI: 1841213865
License: A96235
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Quinonez, Jose Alfred MD ❖
Internal Medicine
Gender: Male
NPI: 1396815940
License: A44257
License Type: PCP
250 Market St
San Diego, CA 92101
(619) 239-9675
Mon-Fri 9:00 am-6:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Ramos, Pedro MD
Internal Medicine
Gender: Male
NPI: 1861566366
License: A91945
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9198
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
32
Primary Care Providers
San Diego
Reddy, Samathha R MD
Internal Medicine
Gender: Female
NPI: 1659620854
License: A120797
License Type: PCP
4276 54th Pl Ste A
San Diego, CA 92115
(619) 265-1070
Affiliated Group(s): Reddy
Biomedical Corp, Samathha R
Reddy
Board Certified: No
Physician's Language(s):
Gujarati, Hindi, Punjabi,
Telugu
Reddy, Samathha R MD
Internal Medicine
Gender: Female
NPI: 1659620854
License: A120797
License Type: PCP
7695 Cardinal Court Ste 390
San Diego, CA 92123
(619) 900-7302
Affiliated Group(s): Reddy
Biomedical Corp, Samathha R
Reddy
Board Certified: No
Physician's Language(s):
Gujarati, Hindi, Punjabi,
Telugu
Ries, David C MD
Internal Medicine
Gender: Male
NPI: 1376705483
License: A127233
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Riker, David R MD
Internal Medicine
Gender: Male
NPI: 1164405528
License: C53916
License Type: PCP
302 Washington St Ste 116
San Diego, CA 92103
(858) 754-1114
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Nr Medical
Associates
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Robinson, Jerome A MD
Rukasin, Christine MD
Internal Medicine
Gender: Male
NPI: 1376624718
License: A30815
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Southern California
Medical Clinic
Board Certified: Yes
Rodrigo, Naranjo A MD ❖
Internal Medicine
Gender: Male
NPI: 1609095264
License: A119010
License Type: PCP
7011 Linda Vista Rd
San Diego, CA 92111
(858) 810-8700
Mon-Fri 8:30am-5:30pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Roldan, Anselmo MD
Internal Medicine
Gender: Male
NPI: 1790898369
License: A42177
License Type: PCP
3490 Palm Ave
San Diego, CA 92154
(619) 423-5616
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Marcos
Borrero Md Inc
Board Certified: No
Physician's Language(s):
Spanish
Romero, Jairo A MD
Internal Medicine
Gender: Male
NPI: 1841258886
License: G56983
License Type: PCP
4185 Fairmount Ave
San Diego, CA 92105
(619) 280-4213
Mon-Fri 8:30 am-6:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, La Maestra
Family Clinic Inc, Ucsd
Medical Group
Board Certified: Yes
❖
Internal Medicine
Gender: Female
NPI: 1043570864
License: A129155
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: Yes
Sanda, Anika L MD
Internal Medicine
Gender: Female
NPI: 1457364234
License: A70742
License Type: PCP
3860 Calle Fortunada
San Diego, CA 92123
(858) 966-8070
Affiliated Group(s): Imperial
Beach Community Clinic
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Serbian
Sasaki, Reid A MD
Internal Medicine
Gender: Male
NPI: 1972817302
License: A112780
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sawhney, Navinder S MD
Internal Medicine
Gender: Male
NPI: 1619174133
License: A86378
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-5743
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Schneider, Beacher G MD
Internal Medicine
Gender: Male
NPI: 1992140073
License: A133188
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sebasky, Meghan M MD
Internal Medicine
Gender: Female
NPI: 1538351408
License: A114146
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Seymann, Gregory B MD
Internal Medicine
Gender: Male
NPI: 1710920442
License: A55150
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Shaw, David J MD
Internal Medicine
NPI: 1578672606
License: C33043
License Type: PCP
4020 Fifth Ave 301
San Diego, CA 92103
(858) 678-6805
Affiliated Group(s): Mercy
Clinic
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
33
Primary Care Providers
San Diego
Shen, John P MD
Internal Medicine
Gender: Male
NPI: 1386806131
License: A109650
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9193
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Singhal, Bindu MD
Internal Medicine
Gender: Female
NPI: 1073546057
License: A78248
License Type: PCP
5440 Morehouse Dr Ste 1700
San Diego, CA 92121
(858) 455-7657
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s): Hindi,
Punjabi
Sitapati, Amy M MD
Internal Medicine
Gender: Female
NPI: 1730261975
License: A70282
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Smilde, Renee I MD
Internal Medicine
NPI: 1427010594
License: A70175
License Type: PCP
4020 Fifth Ave 301
San Diego, CA 92103
(858) 678-6805
Affiliated Group(s): Mercy
Clinic
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Smitherman, Kenton O MD
Truong, Tu N MD
Internal Medicine
Gender: Male
NPI: 1205888724
License: G84563
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tan, Hau H MD ❖
Internal Medicine
Gender: Male
NPI: 1912907726
License: A63428
License Type: PCP
4533 College Ave
San Diego, CA 92115
(619) 287-8270
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Tasher, Dean C MD
Internal Medicine
Gender: Male
NPI: 1205817673
License: A22852
License Type: PCP
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
Trimzi, Mateen Hasan MD
Internal Medicine
Gender: Male
NPI: 1821025313
License: A93138
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Internal Medicine
Gender: Male
NPI: 1194794263
License: A50756
License Type: PCP
5069 El Cajon Blvd
San Diego, CA 92115
(619) 583-8705
Mon-Wed 8:00 am-5:00 am,
Thu 9:00 am-6:00 am, Fri 8:00
am-5:00 am
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Vietnamese
Accessibility: Limited, P
Uddin, Poulina Q MD
Internal Medicine
Gender: Female
NPI: 1427233493
License: A102107
License Type: PCP
4060 4th Ave Ste 650
San Diego, CA 92103
(619) 819-7222
Affiliated Group(s): Poulina
Qazi Uddin Md
Board Certified: No
Physician's Language(s):
Spanish, Bengali
Vafadaran, Ashkan MD
Internal Medicine
Gender: Male
NPI: 1659634517
License: A137394
License Type: PCP
1250 6th Ave Ste 100
San Diego, CA 92101
(619) 515-2430
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s): Farsi
Vampola, Stephen P MD
Internal Medicine
Gender: Male
NPI: 1609136605
License: A122879
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Vo, Sony T MD
San Diego
Internal Medicine
Gender: Male
NPI: 1427003938
License: A49788
License Type: PCP
4551 El Cajon Blvd
San Diego, CA 92115
(619) 280-7185
Mon-Wed 9:00 am-5:00 am,
Thu 9:00 am-1:00 am, Fri 9:00
am-5:00 am, Sat 8:00 am-1:00
pm
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Vietnamese
West, Halyna Y MD
Internal Medicine
Gender: Female
NPI: 1932437969
License: A114276
License Type: PCP
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 464-1608
Affiliated Group(s): Center For
Family Health
Board Certified: No
Wong, Melissa A MD
Internal Medicine
Gender: Female
NPI: 1952746372
License: A133868
License Type: PCP
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Wyles, David L MD
Internal Medicine
Gender: Male
NPI: 1548296775
License: A90234
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
34
Primary Care Providers
San Marcos
Yung, Steven A MD
Internal Medicine
Gender: Male
NPI: 1689636656
License: G80798
License Type: PCP
4020 Fifth Ave 301
San Diego, CA 92103
(858) 678-6805
Affiliated Group(s): Mercy
Clinic
Board Certified: No
Zawitkowski, Claudio V MD
Internal Medicine
Gender: Male
NPI: 1578558623
License: A49794
License Type: PCP
9868 Caminito Laswane
San Diego, CA 92131
(661) 265-7019
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Claudio V
Zawitkowski Md
Board Certified: No
SAN MARCOS
Christy, Ilia C MD
Internal Medicine
Gender: Female
NPI: 1043226889
License: A85980
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
German
Le, Duc T MD
Internal Medicine
Gender: Male
NPI: 1669587341
License: A105410
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): North
County Health Services
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mehboob, Salman MD
Indacochea, Ricardo A MD
Internal Medicine
Gender: Male
NPI: 1497841795
License: A119955
License Type: PCP
334 Via Vera Cruz Ste 257
San Marcos, CA 92078
(760) 510-1808
Affiliated Group(s): Alberto
Chavira Md A Medical Corp,
Salman Mehboob Md
Board Certified: No
Poniachik, Samuel I MD
Internal Medicine
Gender: Male
NPI: 1467485078
License: G74757
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Affiliated Hospital(s): Palomar
Medical Center
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
Physician's Language(s):
Spanish
Walker, Shayna T MD
Internal Medicine
Gender: Female
NPI: 1760688295
License: A107393
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
SAN YSIDRO
Indacochea, Ricardo A MD ❖
Internal Medicine
Gender: Male
NPI: 1033375563
License: A110199
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
❖
Internal Medicine
Gender: Male
NPI: 1033375563
License: A110199
License Type: PCP
4050 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Rangarajan, Suresh B MD
Internal Medicine
Gender: Male
NPI: 1285818534
License: A99161
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Romero, Jairo A MD
Internal Medicine
Gender: Male
NPI: 1841258886
License: G56983
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, La Maestra
Family Clinic Inc, Ucsd
Medical Group
Board Certified: Yes
Sierra, Julie R MD
Internal Medicine
Gender: Female
NPI: 1881672798
License: A11785
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: Yes
Physician's Language(s):
Spanish
SANTEE
Vista
Gupta, Brij MD
Internal Medicine
Gender: Male
NPI: 1174532543
License: A43950
License Type: PCP
10158 Buena Vista Ave
Santee, CA 92071
(619) 562-1140
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Brij Gupta
Md Inc
Board Certified: No
Hayes, Sandra M MD
Internal Medicine
Gender: Female
NPI: 1740431444
License: A123250
License Type: PCP
9600 Cuyamaca St Ste 201
Santee, CA 92071
(619) 258-6200
Affiliated Group(s): Sandra M
Hayes Md
Board Certified: No
Physician's Language(s):
Spanish
SPRING VALLEY
Brumley, Kacie G MD ❖
Internal Medicine
Gender: Female
NPI: 1518333483
License: A138923
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
VISTA
Bharne, Anjali A MD
Internal Medicine
Gender: Female
NPI: 1053519280
License: A94639
License Type: PCP
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 536-7700
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
35
Primary Care Providers
San Diego
Clancy, John DO
Internal Medicine
Gender: Male
NPI: 1962506238
License: 20A9614
License Type: PCP
2375 Melrose Dr
Vista, CA 92081
(760) 305-1900
Affiliated Group(s): Clancy
Medical Group
Board Certified: No
Clancy, Tara DO
Internal Medicine
Gender: Female
NPI: 1588086003
License: 20A9695
License Type: PCP
2375 Melrose Dr
Vista, CA 92081
(760) 305-1900
Affiliated Group(s): Clancy
Medical Group
Board Certified: No
Jaramillo, Mary MD
Internal Medicine
Gender: Female
NPI: 1255361895
License: G62626
License Type: PCP
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 598-1700
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
Accessibility: Limited, P, R, E
Kheradpour, Rabin MD
Internal Medicine
Gender: Male
NPI: 1093718462
License: A63649
License Type: PCP
134 Grapevine Rd
Vista, CA 92083
(760) 631-5030
Affiliated Group(s): Vista
Community Clinic
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Weissman, William R MD ❖
NATIONAL CITY
Internal Medicine
Cortez, Cristine Ann CNM
Gender: Male
Midwife, Certified Nurse
NPI: 1730114992
Gender: Female
License: G15046
NPI: 1467427898
License Type: PCP
License: NMW1485
134 Grapevine Rd
License Type: PCP Extender
Vista, CA 92083
217 Highland Ave
(760) 631-5030
National City, CA 91950
Affiliated Group(s): Integrated
(619) 434-7308
Health Partners
Mon-Fri 8:30 am-6:00 pm
Board Certified: No
Affiliated Group(s): Ucsd
Physician's Language(s):
Medical Group
Spanish
Board Certified: No
Midwife
SAN DIEGO
Timpe, Beth K CNM
Midwife
Gender: Female
NPI: 1336209428
License: CNM1598
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-3433
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Ward, Pamela R CNM
Midwife
Gender: Female
NPI: 1912063199
License: CNM757
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Midwife, Certified Nurse
EL CAJON
Cortez, Cristine Ann CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1467427898
License: NMW1485
License Type: PCP Extender
165 S 1st St
El Cajon, CA 92019
(619) 312-0347
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
SAN DIEGO
Baum, Sherry K CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1235101163
License: NMW11819
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-7830
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cooper, Anne S CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1477644417
License: NMW1689
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(760) 736-6700
Mon-Fri 8:00 am-6:00 pm, Sat
8:00 am-5:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cooper, Linda R CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1750430807
License Type: PCP Extender
3177 Ocean View Blvd
San Diego, CA 92113
(619) 231-9300
Mon-Fri 8:00 am-6:30 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Cooper, Linda R CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1750430807
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 563-0250
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cooper, Linda R CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1750430807
License Type: PCP Extender
4290 Polk Ave
San Diego, CA 92105
(619) 563-0250
Mon 8:00 am-5:00 pm, Tue 9:00
am-5:00 pm, Wed-Fri 8:00
am-5:00 pm, Sat 8:00 am-2:00
pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cortez, Cristine Ann CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1467427898
License: NMW1485
License Type: PCP Extender
4060 Fairmount Ave
San Diego, CA 92105
(619) 280-4213
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cortez, Cristine Ann CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1467427898
License: NMW1485
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
36
Primary Care Providers
San Marcos
Garrett-brown, Rebecca C
CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1659344224
License: RN401115
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hirsch, Jennifer CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1891752069
License: NMW970
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7878
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Perdion, Karen L CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1518916857
License: NMW1061
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 563-0250
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Perdion, Karen L CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1518916857
License: NMW1061
License Type: PCP Extender
4290 Polk Ave
San Diego, CA 92105
(619) 563-0250
Mon 8:00 am-5:00 pm, Tue 9:00
am-5:00 pm, Wed-Fri 8:00
am-5:00 pm, Sat 8:00 am-2:00
pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Renn, Hope A CNM
Woelke, Dianne M CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1285667741
License: NMW1421
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7900
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Runzel, Albert CNM
Midwife, Certified Nurse
Gender: Male
NPI: 1326195652
License: MW1760
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Shields, Kelly CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1265638993
License: NMW1738
License Type: PCP Extender
3343 4th Ave
San Diego, CA 92103
(619) 299-0840
Affiliated Group(s): Best Start
Birth Center
Board Certified: No
Vu, Erica T CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1578890737
License: NMW1848
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
❖
Midwife, Certified Nurse
Gender: Female
NPI: 1780696013
License: NMW9420
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(760) 757-5841
Mon-Tue 8:00 am-5:00 pm,
Wed 8:30 am-5:30 pm, Thu-Fri
8:00 am-5:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
SAN MARCOS
Keith, Joan M CNM
Midwife, Certified Nurse
Gender: Female
NPI: 1760492169
License: NMW1084
License Type: PCP Extender
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Nurse Practitioner
LA JOLLA
Byrne, Jennifer M NP
Nurse Practitioner
Gender: Female
NPI: 1568804326
License: NP23295
License Type: PCP Extender
3885 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6600
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
La Jolla
Castano, Neremiah Joakim NP
Nurse Practitioner
Gender: Male
NPI: 1437190071
License: NP3191
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-2124
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Drcar, Thao NP
Nurse Practitioner
Gender: Female
NPI: 1710958798
License: RN513066
License Type: PCP Extender
9300 Campus Point Dr
La Jolla, CA 92037
(858) 822-2124
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Eklund, Bonnie L NP
Nurse Practitioner
Gender: Female
NPI: 1811978992
License: NPF15285
License Type: PCP Extender
9300 Campus Point Dr
La Jolla, CA 92037
(858) 244-6800
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Herman, Heather G NP
Nurse Practitioner
Gender: Female
NPI: 1407064728
License: NP15024
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-7079
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
37
Primary Care Providers
San Diego
Khuat, Lien M NP
Nurse Practitioner
Gender: Female
NPI: 1366558678
License: NP13634
License Type: PCP Extender
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-6380
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ko, Yan NP
Nurse Practitioner
Gender: Female
NPI: 1205185915
License: NP664268
License Type: PCP Extender
9300 Campus Point Dr
La Jolla, CA 92037
(858) 822-2124
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kormanik, Patricia A NP
Nurse Practitioner
Gender: Female
NPI: 1093895047
License: NPF9707
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Littrell, Michele NP
Nurse Practitioner
Gender: Female
NPI: 1740471978
License: NP 13577
License Type: PCP Extender
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mcalpin, Rebecca NP
Srilasak, Michele NP
Nurse Practitioner
Gender: Female
NPI: 1063662153
License: NP17151
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-5400
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nguyen, My H NP
Nurse Practitioner
Gender: Female
NPI: 1598950651
License Type: PCP Extender
8950 Villa La Jolla Dr Ste C 207
La Jolla, CA 92037
(858) 534-8730
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French, Vietnamese
Podsada, Kimberly C NP
Nurse Practitioner
Gender: Female
NPI: 1891011078
License: NP19181
License Type: PCP Extender
9350 Campus Point Dr
La Jolla, CA 92037
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Solomon, Amy NP
Nurse Practitioner
Gender: Female
NPI: 1215033477
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Nurse Practitioner
Gender: Female
NPI: 1265487326
License: ANP13694
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sun, Cheng NP
Nurse Practitioner
Gender: Female
NPI: 1437358892
License: NP9759
License Type: PCP Extender
9300 Campus Point Dr
La Jolla, CA 92037
(858) 822-2124
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Verbeck, Mary NP
Nurse Practitioner
Gender: Female
NPI: 1992957013
License: NP610513
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-2124
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Verbeck, Mary NP
Nurse Practitioner
Gender: Female
NPI: 1992957013
License: NP610513
License Type: PCP Extender
9300 Campus Point Dr
La Jolla, CA 92037
(858) 822-2124
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
SAN DIEGO
Bell, Karen L NP
Nurse Practitioner
Gender: Female
NPI: 1982632758
License: NP349853
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(858) 657-7835
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Benetti, Maureen C NP
Nurse Practitioner
Gender: Female
NPI: 1518994466
License: NP4854
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bilenkaya, Irina NP
Nurse Practitioner
Gender: Female
NPI: 1801030267
License: NP15880
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Buckley, Maureen D NP
Nurse Practitioner
Gender: Female
NPI: 1619377447
License: NP95001205
License Type: PCP Extender
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
38
Primary Care Providers
San Diego
Cain, Julia NP
Nurse Practitioner
Gender: Female
NPI: 1457593808
License: NP18867
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Camargo-lowthers, Angelica M
NP
Nurse Practitioner
Gender: Female
NPI: 1912982539
License: NP14412
License Type: PCP Extender
4305 University Ave Ste 150
San Diego, CA 92105
(619) 280-2058
Mon-Fri 8:00 am-5:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Celestine Ramsey, Akanke J NP
Nurse Practitioner
Gender: Female
NPI: 1447450275
License: NP8563
License Type: PCP Extender
3177 Ocean View Blvd
San Diego, CA 92113
(619) 231-9300
Mon-Fri 8:00 am-6:30 pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Celestine Ramsey, Akanke J NP
Nurse Practitioner
Gender: Female
NPI: 1447450275
License: NP8563
License Type: PCP Extender
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Cooper, Craig L NP
Elmore, Dudley NP
Nurse Practitioner
Gender: Male
NPI: 1679544845
License: NP616100
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Couch, Sara NP
Nurse Practitioner
Gender: Female
NPI: 1851633507
License: NP20894
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dodd-sullivan, Rebecca M NP
Nurse Practitioner
Gender: Female
NPI: 1760823629
License: NP21994
License Type: PCP Extender
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dove, Janet H NP
Nurse Practitioner
Gender: Female
NPI: 1982860664
License: NP346073
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Nurse Practitioner
Gender: Male
NPI: 1568620375
License: NP18199
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Flores, Eleanor A NP
Nurse Practitioner
Gender: Female
NPI: 1730264250
License: NP13994
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Freeborn, Kellie NP
Nurse Practitioner
Gender: Female
NPI: 1841220860
License: NP12491
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 683-7526
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Garcia, David NP
Nurse Practitioner
Gender: Male
NPI: 1851544480
License: NP 9111
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Genna, Vincent T NP
Nurse Practitioner
Gender: Male
NPI: 1447554563
License: NP19869
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gilbert, Tari NP
Nurse Practitioner
Gender: Female
NPI: 1811248347
License: NP10378
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gross, Kimberly W NP
Nurse Practitioner
Gender: Female
NPI: 1275968893
License: NP21999
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kelly, Tara M NP
Nurse Practitioner
Gender: Female
NPI: 1396995163
License: NP95001320
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
39
Primary Care Providers
San Diego
Kirk, Mary NP
Nurse Practitioner
Gender: Female
NPI: 1760668073
License: NP 17276
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Manuel, Marissa A NP
Nurse Practitioner
Gender: Female
NPI: 1538479480
License: NP20026
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-5317
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Martin, Rhonda K NP
Nurse Practitioner
Gender: Female
NPI: 1447371778
License: NP325269
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5871
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Martinez, Joycelle NP
Nurse Practitioner
Gender: Female
NPI: 1891906228
License: NPF 16021
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 231-9300
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Meyer, Dawn NP
Phillips, Kelly M NP
Nurse Practitioner
Gender: Female
NPI: 1467575126
License: NP15769
License Type: PCP Extender
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nguyen, My H NP
Nurse Practitioner
Gender: Female
NPI: 1598950651
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French, Vietnamese
Pellecchia, Kristyn NP
Nurse Practitioner
Gender: Female
NPI: 1780981266
License: NP21354
License Type: PCP Extender
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pellecchia, Kristyn NP
Nurse Practitioner
Gender: Female
NPI: 1780981266
License: NP21354
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(858) 534-8730
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Nurse Practitioner
Gender: Female
NPI: 1336370543
License: NP18868
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Piatkowski, Brian NP
Nurse Practitioner
Gender: Male
NPI: 1366703233
License: NP607081
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Riviello, Gabriela NP
Nurse Practitioner
Gender: Female
NPI: 1871758508
License: NP13576
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Smith, Heidi A NP
Nurse Practitioner
Gender: Female
NPI: 1992950539
License: NP8236
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-2218
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Stimson, Elizabeth O NP
Nurse Practitioner
Gender: Female
NPI: 1528091931
License: NP6118
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tangtumnu, Rungfa NP
Nurse Practitioner
Gender: Female
NPI: 1689828741
License: NP17451
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Toperoff, Will NP
Nurse Practitioner
Gender: Male
NPI: 1013103472
License: NP14178
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Torres, Karla F NP
Nurse Practitioner
Gender: Female
NPI: 1023452554
License: NP22380
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3995
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
40
Primary Care Providers
San Marcos
SAN MARCOS
Fatica, Diane L NP
Nurse Practitioner
Gender: Female
NPI: 1578591608
License: NP8393
License Type: PCP Extender
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Russo, Paul R NP
Nurse Practitioner
Gender: Male
NPI: 1164465753
License: NP10524
License Type: PCP Extender
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Russo, Paul R NP
Nurse Practitioner
Gender: Male
NPI: 1164465753
License: NP10524
License Type: PCP Extender
727 W San Marcos Blvd Ste 112
San Marcos, CA 92078
(760) 736-6767
Affiliated Group(s): North
County Health Services
Board Certified: No
SAN YSIDRO
Celestine Ramsey, Akanke J NP
Nurse Practitioner
Gender: Female
NPI: 1447450275
License: NP8563
License Type: PCP Extender
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Obstetrics & Gynecology Carr, Mianda C MD
Obstetrics & Gynecology
Gender: Female
Alimonos, Lysistrati DO
NPI: 1083815823
Obstetrics & Gynecology
License: A104660
NPI: 1619397031
License Type: PCP
License Type: PCP
1637 3rd Ave Ste B
251 Landis Ave
Chula Vista, CA 91911
Chula Vista, CA 91910
(619) 205-1360
(619) 515-2500
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Family
Affiliated Group(s): Integrated
Health Centers Of San Diego
Health Partners
Inc
Board Certified: No
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Arce, Jorge T MD
Obstetrics & Gynecology
Cervantes, Sandra M MD
Gender: Male
Obstetrics & Gynecology
NPI: 1245344514
Gender: Female
License: A35391
NPI: 1073701041
License Type: PCP
License: A118095
480 4th Ave Ste 211
License Type: PCP
Chula Vista, CA 91910
251 Landis Ave
(619) 422-2000
Chula Vista, CA 91910
Mon-Fri 9:00 am-5:00 pm
(619) 515-2500
Affiliated Hospital(s): Sharp
Affiliated Hospital(s): Scripps
Chula Vista Medical Center
Mercy Hospital
Affiliated Group(s): Infertility
Affiliated Group(s): Family
Ob/gyn Medical Group,
Health Centers Of San Diego
Integrated Health Partners
Inc
Board Certified: Yes
Board Certified: No
Physician's Language(s):
Physician's Language(s):
Spanish
Spanish
Atiga, Schubert J MD
Chac, Rick C MD
Obstetrics & Gynecology
Obstetrics & Gynecology
Gender: Male
Gender: Male
NPI: 1033138714
NPI: 1538347760
License: G53756
License: A105379
License Type: PCP
License Type: PCP
752 Medical Center Ct Ste 106
750 Medical Center Ct Ste 8
Chula Vista, CA 91911
Chula Vista, CA 91911
(619) 482-8406
(619) 482-2400
Affiliated Hospital(s): Sharp
Mon-Wed 10:00 am-6:00 pm
Chula Vista Medical Center
Affiliated Group(s): Vantage
Affiliated Group(s): Chula Vista Medical Group, Rick T Chac
Womens Care Dba Lifetime
Md Inc
Womens Healthcare
Board Certified: No
Board Certified: No
Physician's Language(s):
Spanish, Cantonese, Mandarin,
Buechner, Charlene A MD
Vietnamese
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
CHULA VISTA
❖
Chula Vista
Davis, Tracie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Del Aguila, Jorge MD
Obstetrics & Gynecology
Gender: Male
NPI: 1699889956
License: A34371
License Type: PCP
480 4th Ave Ste 211
Chula Vista, CA 91910
(619) 422-2000
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Infertility
Ob/gyn Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Kamali, Pourang MD
Obstetrics & Gynecology
Gender: Male
NPI: 1609954171
License: A90859
License Type: PCP
769 Medical Center Ct Ste 301
Chula Vista, CA 91911
(619) 271-2700
Mon-Thu 9:00 am-6:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Pourang
Kamali Md
Board Certified: No
Physician's Language(s): Farsi
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
41
Primary Care Providers
El Cajon
Levine, Mauricio MD
Obstetrics & Gynecology
Gender: Male
NPI: 1407833031
License: A45582
License Type: PCP
765 Medical Center Ct Ste 201
Chula Vista, CA 91911
(619) 482-8080
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Mauricio
Levine Md
Board Certified: No
Physician's Language(s):
Spanish
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Sefa Boakye, Kofi D MD
Obstetrics & Gynecology
Gender: Male
NPI: 1902993660
License: G59670
License Type: PCP
344 H St Ste 1402
Chula Vista, CA 91910
(619) 422-2121
Mon-Thu 9:00 am-4:00 pm, Fri
9:00 am-12:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Smith-nguyen, Gioi MD
Zieg, Alan J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1619198140
License: G61280
License Type: PCP
1400 E Palomar St
Chula Vista, CA 91913
(858) 499-2600
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Gioi Ngoc
Smith-nguyen Md A Medical
Corporation, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Vietnamese
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Winesburg, Jennifer J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
❖
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
EL CAJON
Alimonos, Lysistrati DO
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
El Cajon
Cervantes, Sandra M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Cunningham, Chrysten E DO
Obstetrics & Gynecology
Gender: Female
NPI: 1265435606
License: 20A7944
License Type: PCP
1032 Broadway
El Cajon, CA 92021
(619) 795-5991
Mon-Fri 9:00 am-6:00 pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Davis, Tracie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
42
Primary Care Providers
Encinitas
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Tajran, Deena S MD
Obstetrics & Gynecology
Gender: Female
NPI: 1891757217
License: A55154
License Type: PCP
291 E Lexington Ave Ste A, B &
C
El Cajon, CA 92021
(619) 442-6600
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Advanced
Healthcare Center Apc
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Winesburg, Jennifer J DO
Ching, Suzanne MD
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Zieg, Alan J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
ENCINITAS
Casele, Holly Lynn MD
Obstetrics & Gynecology
Gender: Female
NPI: 1255348744
License: G87630
License Type: PCP
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1174608749
License: A73776
License Type: PCP
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women, Tri City Medical
Center
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Ching, Suzanne MD
Obstetrics & Gynecology
Gender: Female
NPI: 1174608749
License: A73776
License Type: PCP
285 E Camino Real Ste 205
Encinitas, CA 92024
(760) 436-1413
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women, Tri City Medical
Center
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Hice-garza, Jarmara L MD
Obstetrics & Gynecology
NPI: 1063649838
License: A144229
License Type: PCP
11320 2nd St
Encinitas, CA 92024
(760) 753-7842
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Mostofian, Eimaneh MD
Obstetrics & Gynecology
Gender: Female
NPI: 1154477628
License: A97181
License Type: PCP
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
Physician's Language(s): Farsi
Purcott, Kari L MD
Escondido
Obstetrics & Gynecology
Gender: Female
NPI: 1548446602
License: A98534
License Type: PCP
345 Saxony Ste 205
Encinitas, CA 92024
(760) 635-1880
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Streeter, Hector C MD
Obstetrics & Gynecology
Gender: Male
NPI: 1124190202
License: C50184
License Type: PCP
1130 2nd St
Encinitas, CA 92024
(760) 943-9994
Affiliated Group(s): North
County Health Services
Board Certified: No
ESCONDIDO
Buringrud, Duane M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1215971999
License: G34140
License Type: PCP
425 N Date St Ste 203
Escondido, CA 92025
(760) 520-8300
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Cizmar, Branislav MD
Obstetrics & Gynecology
Gender: Male
NPI: 1679554372
License: A80606
License Type: PCP
425 N Date St
Escondido, CA 92025
(760) 520-8200
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
43
Primary Care Providers
La Jolla
Leon, Josue D MD
Obstetrics & Gynecology
Gender: Male
NPI: 1497799092
License: A80635
License Type: PCP
426 N Date St
Escondido, CA 92025
(760) 690-5900
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Rode, Anuradha MD
Obstetrics & Gynecology
Gender: Female
NPI: 1447451729
License: A111924
License Type: PCP
425 N Date St
Escondido, CA 92025
(760) 520-8200
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
LA JOLLA
Agarwal, Sanjay K MD
Obstetrics & Gynecology
Gender: Male
NPI: 1255489720
License: A52018
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Hindi
Alperin, Mariann MD
Obstetrics & Gynecology
Gender: Female
NPI: 1033266879
License: A102879
License Type: PCP
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8737
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Russian
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Anderson, Kristen M MD
Deak, Pamela W MD
Obstetrics & Gynecology
Gender: Female
NPI: 1447575568
License: A129812
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Averbach, Sarah H MD
Obstetrics & Gynecology
Gender: Female
NPI: 1700012457
License: A128990
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-6777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bean, Lisa M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1760782817
License: A125372
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6199
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Chang, Russell J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1629003389
License: G20109
License Type: PCP
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1316978554
License: A54653
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Duleba, Antoni J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1659354702
License: C52680
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Polish
Duleba, Antoni J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1659354702
License: C52680
License Type: PCP
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Polish
Gross, Erin A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1013175009
License: A99544
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kelly, Thomas F MD
La Jolla
Obstetrics & Gynecology
Gender: Male
NPI: 1336203496
License: G60630
License Type: PCP
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8745
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
Kingston, Jessica M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1538106372
License: A70367
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Lacoursiere, Daphne Y MD
Obstetrics & Gynecology
Gender: Female
NPI: 1316037922
License: A74138
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
44
Primary Care Providers
La Jolla
Macaulay, Kathryn M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1235154618
License: A61603
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Martinez, Kelly A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1063616639
License: A119682
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-7900
Affiliated Group(s): North
County Health Services
Board Certified: No
Mchale, Michael T MD
Obstetrics & Gynecology
Gender: Male
NPI: 1508828179
License: G83172
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mchale, Michael T MD
Obstetrics & Gynecology
Gender: Male
NPI: 1508828179
License: G83172
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mcqueen, Dana B MD
Mohyi, Darush L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1669768180
License: A141023
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-6777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Miller, Christine MD
Obstetrics & Gynecology
Gender: Female
NPI: 1154346583
License: G82246
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mody, Sheila MD
Obstetrics & Gynecology
Gender: Female
NPI: 1952561102
License: A117818
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mohyi, Darush L MD
Obstetrics & Gynecology
Gender: Male
NPI: 1912908369
License: A055635
License Type: PCP
7720 Fay Ave
La Jolla, CA 92037
(858) 454-2700
Affiliated Group(s): Darush L
Mohyi Md Apc, La Jolla
Cosmetic Laser Clinic Inc
Board Certified: No
Physician's Language(s): Farsi
❖
Obstetrics & Gynecology
Gender: Male
NPI: 1912908369
License: A055635
License Type: PCP
7724 Fay Ave
La Jolla, CA 92037
(858) 454-2700
Affiliated Group(s): Darush L
Mohyi Md Apc, La Jolla
Cosmetic Laser Clinic Inc
Board Certified: No
Physician's Language(s): Farsi
Nager, Charles W MD
Obstetrics & Gynecology
Gender: Male
NPI: 1669405478
License: G50449
License Type: PCP
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8737
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Resnik, Jamie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1558310557
License: A66580
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Saenz, Cheryl C MD
Obstetrics & Gynecology
Gender: Female
NPI: 1396818134
License: G74647
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Semo, Robert J MD
La Jolla
Obstetrics & Gynecology
Gender: Male
NPI: 1326030669
License: A42951
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tajran, Deena S MD
Obstetrics & Gynecology
Gender: Female
NPI: 1891757217
License: A55154
License Type: PCP
9850 Genesee Ave Ste 560
La Jolla, CA 92037
(626) 799-3886
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Advanced
Healthcare Center Apc
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Taylor, Kristin MD
Obstetrics & Gynecology
Gender: Female
NPI: 1467748855
License: A135672
License Type: PCP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6199
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
45
Primary Care Providers
La Mesa
Varon, Shira MD
Obstetrics & Gynecology
Gender: Female
NPI: 1619047545
License: A96901
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Weber, Akilah F MD
Obstetrics & Gynecology
Gender: Female
NPI: 1760652713
License: C56035
License Type: PCP
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Williams, Sigrid G MD
Obstetrics & Gynecology
Gender: Female
NPI: 1033485511
License: A128995
License Type: PCP
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-6777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Smith-nguyen, Gioi MD
LA MESA
Obstetrics & Gynecology
Gellens, Andrew J MD
Gender: Male
Obstetrics & Gynecology
NPI: 1619198140
Gender: Male
License: G61280
NPI: 1164528741
License Type: PCP
License: G71477
8851 Center Dr Ste 500
License Type: PCP
La Mesa, CA 91942
8851 Center Dr Ste 210
(760) 471-0200
La Mesa, CA 91942
Mon-Fri 8:00 am-5:00 pm
(619) 463-7775
Affiliated Group(s): Gioi Ngoc
Mon-Fri 8:30 am-5:30 pm
Smith-nguyen Md A Medical
Affiliated Hospital(s):
Corporation, Vantage Medical
Grossmont Hospital
Group
Affiliated Group(s): Integrated
Board Certified: No
Health Partners
Physician's Language(s):
Board Certified: No
Vietnamese
Physician's Language(s):
Spanish
LEMON GROVE
Murphy, Thomas J MD
Alimonos, Lysistrati DO
Obstetrics & Gynecology
Gender: Male
NPI: 1982608881
License: G42911
License Type: PCP
8851 Center Dr Ste 100
La Mesa, CA 91942
(619) 463-0600
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Borrego
Community Health Foundation
Board Certified: Yes
Physician's Language(s):
Spanish
Sandoval, Rebeca MD
Obstetrics & Gynecology
Gender: Female
NPI: 1023242120
License: A107155
License Type: PCP
5360 Jackson Dr Ste 100
La Mesa, CA 91942
(619) 698-2184
Mon-Fri 9:15 am-5:30 pm
Affiliated Group(s): Rebecca
Sandoval Md
Board Certified: No
Segnit, Robert S MD
Obstetrics & Gynecology
Gender: Male
NPI: 1649364746
License: G37971
License Type: PCP
8851 Center Dr Ste 210
La Mesa, CA 91942
(619) 463-7775
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Integrated
Health Partners
Board Certified: Yes
❖
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Lemon Grove
Cervantes, Sandra M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Davis, Tracie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Kruppa, Nicole MD
Obstetrics & Gynecology
Gender: Female
NPI: 1437446408
License: A122400
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
46
Primary Care Providers
National City
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Winesburg, Jennifer J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Zieg, Alan J MD
Carson, Latisa S MD
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
7592 Broadway
Lemon Grove, CA 91945
(619) 515-2550
Mon-Fri 8:30am-5:30pm
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
NATIONAL CITY
Alladawi, Ayman MD
Obstetrics & Gynecology
Gender: Male
NPI: 1144485459
License: A96862
License Type: PCP
911 E Plaza Blvd
National City, CA 91950
(619) 434-0299
Affiliated Group(s): Allsafe San
Diego Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Carr, Mianda C MD
Obstetrics & Gynecology
Gender: Female
NPI: 1083815823
License: A104660
License Type: PCP
2400 E 8th St Ste A
National City, CA 91950
(619) 662-4154
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1245229129
License: A72235
License Type: PCP
502 Euclid Ave Ste 302
National City, CA 91950
(619) 475-9744
Mon-Thu 8:30 am-5:30 pm, Fri
8:00 am-3:00 pm
Affiliated Hospital(s): Paradise
Valley Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Latisa S
Carson Md Dba Unique
Healthcare For Women
Board Certified: Yes
Castillo, Maria L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1962566489
License: A1058077
License Type: PCP
911 E Plaza Blvd
National City, CA 91950
(858) 565-8100
Affiliated Group(s): Allsafe San
Diego Medical Group Inc
Board Certified: No
Martinson, Marsha MD
Obstetrics & Gynecology
Gender: Female
NPI: 1043525157
License: A103306
License Type: PCP
911 E Plaza Blvd
National City, CA 91950
(619) 434-0299
Affiliated Group(s): Allsafe San
Diego Medical Group Inc
Board Certified: No
Seif, Medhat MD
Obstetrics & Gynecology
Gender: Male
NPI: 1245330828
License: A33932
License Type: PCP
911 E Plaza Blvd
National City, CA 91950
(619) 434-0299
Affiliated Group(s): Allsafe San
Diego Medical Group Inc,
Medhat Seif Md Inc
Board Certified: No
Physician's Language(s):
Spanish, German, Farsi,
Tagalog
OCEANSIDE
Poway
Grauer, Nancy M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1740216167
License: G59913
License Type: PCP
3998 Vista Way Ste C202
Oceanside, CA 92056
(760) 758-1220
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Purcott, Kari L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1548446602
License: A98534
License Type: PCP
3998 Vista Way Ste C202
Oceanside, CA 92056
(760) 758-1220
Affiliated Group(s): North
County Health Services
Board Certified: No
POWAY
Fan, Li MD
Obstetrics & Gynecology
Gender: Female
NPI: 1730282658
License: C132851
License Type: PCP
15725 Pomerado Rd Ste 207
Poway, CA 92064
(858) 451-7944
Affiliated Group(s): Obstetrics
& Gynecology Li Fan Md Inc
Board Certified: No
Physician's Language(s):
Mandarin
Maresh, Timothy MD
Obstetrics & Gynecology
Gender: Male
NPI: 1245339985
License: G52620
License Type: PCP
15725 Pomerado Rd Ste 207
Poway, CA 92064
(858) 451-7944
Mon-Tue 9:00 am-5:00 pm,
Wed 9:00 am-1:00 pm, Thu 9:00
am-5:00 pm, Fri 9:00 am-1:00
pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
47
Primary Care Providers
San Diego
SAN DIEGO
Agarwal, Sanjay K MD
Obstetrics & Gynecology
Gender: Male
NPI: 1255489720
License: A52018
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Hindi
Alimonos, Lysistrati DO
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Alimonos, Lysistrati DO
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Alimonos, Lysistrati DO
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Alimonos, Lysistrati DO
Brahmbhatt, Bhoomi M MD
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Alimonos, Lysistrati DO
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Arrieta, Iris R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1659614303
License: A125026
License Type: PCP
3750 Convoy St Ste 312
San Diego, CA 92111
(858) 292-7200
Affiliated Group(s): Womens
Healthcare A Medical
Corporation
Board Certified: No
Attisha, Shereen M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1184791550
License: C53444
License Type: PCP
3750 Convoy St Ste 312
San Diego, CA 92111
(858) 292-7200
Affiliated Group(s): Womens
Healthcare A Medical
Corporation
Board Certified: No
Averbach, Sarah H MD
Obstetrics & Gynecology
Gender: Female
NPI: 1700012457
License: A128990
License Type: PCP
200 West Arbor Dr
San Diego, CA 92103
(619) 543-6777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1437126182
License: A 91358
License Type: PCP
3750 Convoy St Ste 312
San Diego, CA 92111
(858) 292-7200
Affiliated Group(s): Womens
Healthcare A Medical
Corporation
Board Certified: No
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
San Diego
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Carr, Mianda C MD
Obstetrics & Gynecology
Gender: Female
NPI: 1083815823
License: A104660
License Type: PCP
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Casele, Holly Lynn MD
Obstetrics & Gynecology
Gender: Female
NPI: 1255348744
License: G87630
License Type: PCP
8010 Frost St Ste 300
San Diego, CA 92123
(858) 939-6880
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
48
Primary Care Providers
San Diego
Cervantes, Sandra M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Cervantes, Sandra M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Cervantes, Sandra M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Cervantes, Sandra M MD
Davis, Tracie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Cervantes, Sandra M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Conturie, Charlotte L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1891119046
License: A128664
License Type: PCP
4910 Directors Pl Ste 200
San Diego, CA 92121
(858) 657-7200
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cook-andersen, Heidi MD
Obstetrics & Gynecology
Gender: Female
NPI: 1679629273
License: A109996
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Davis, Tracie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Davis, Tracie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Davis, Tracie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Davis, Tracie L MD
San Diego
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Deak, Pamela W MD
Obstetrics & Gynecology
Gender: Female
NPI: 1316978554
License: A54653
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Del Rosario, Gelen R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1255643474
License: A113471
License Type: PCP
4060 Fairmount Ave
San Diego, CA 92105
(619) 584-1612
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): Gelen R
Del Rosario Md Inc, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Gross, Erin A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1013175009
License: A99544
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
49
Primary Care Providers
San Diego
Hebert, Stephen A MD
Obstetrics & Gynecology
Gender: Male
NPI: 1730127069
License: G40602
License Type: PCP
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Herrero, Tiffany Chen MD
Obstetrics & Gynecology
Gender: Female
NPI: 1609140524
License: A119846
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(615) 543-3000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ho, Mylien V MD
Obstetrics & Gynecology
Gender: Female
NPI: 1851464606
License: A48215
License Type: PCP
5555 Reservoir Dr Ste 205
San Diego, CA 92120
(619) 286-5858
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women
Affiliated Group(s): Mylien Ho
Md
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Hoover, Kaitlin MD
Obstetrics & Gynecology
Gender: Female
NPI: 1700171451
License: A135618
License Type: PCP
3750 Convoy St Ste 312
San Diego, CA 92111
(858) 292-7200
Affiliated Group(s): Womens
Healthcare A Medical
Corporation
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Kelly, Thomas F MD
Kruppa, Nicole MD
Obstetrics & Gynecology
Gender: Male
NPI: 1336203496
License: G60630
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
Khan, Aliya I MD
Obstetrics & Gynecology
Gender: Female
NPI: 1285687350
License: G50634
License Type: PCP
4060 Fairmount Ave
San Diego, CA 92105
(619) 584-1612
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Physician's Language(s): Farsi
Kingston, Jessica M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1538106372
License: A70367
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Kruppa, Nicole MD
Obstetrics & Gynecology
Gender: Female
NPI: 1437446408
License: A122400
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1437446408
License: A122400
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Kruppa, Nicole MD
Obstetrics & Gynecology
Gender: Female
NPI: 1437446408
License: A122400
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Kruppa, Nicole MD
Obstetrics & Gynecology
Gender: Female
NPI: 1437446408
License: A122400
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Kruppa, Nicole MD
Obstetrics & Gynecology
Gender: Female
NPI: 1437446408
License: A122400
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego
Lacoursiere, Daphne Y MD
Obstetrics & Gynecology
Gender: Female
NPI: 1316037922
License: A74138
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Laurent, Louise C MD
Obstetrics & Gynecology
Gender: Female
NPI: 1770532707
License: A80409
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Finnish
Leventis, Lynn MD
Obstetrics & Gynecology
Gender: Female
NPI: 1477501203
License: G88421
License Type: PCP
3177 Ocean View Blvd
San Diego, CA 92113
(619) 428-4463
Mon-Fri 8:30am-5:30pm, Sat
8:00am-2:00pm, Sun
10:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Lukacz, Emily MD
Obstetrics & Gynecology
Gender: Female
NPI: 1750339446
License: A063540
License Type: PCP
4168 Front St
San Diego, CA 92103
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
50
Primary Care Providers
San Diego
Macaulay, Kathryn M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1235154618
License: A61603
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 563-0250
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Macaulay, Kathryn M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1235154618
License: A61603
License Type: PCP
4290 Polk Ave
San Diego, CA 92105
(619) 563-0250
Mon 8:00 am-5:00 pm, Tue 9:00
am-5:00 pm, Wed-Fri 8:00
am-5:00 pm, Sat 8:00 am-2:00
pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mansour, Anmar A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1881617884
License: A92470
License Type: PCP
4185 Fairmount Ave
San Diego, CA 92105
(619) 280-4213
Mon-Fri 8:30 am-6:00 pm
Affiliated Group(s):
Contemporary Ob/gyn Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mansour, Anmar A MD
Mccaulley, Jill MD
Obstetrics & Gynecology
Gender: Female
NPI: 1881617884
License: A92470
License Type: PCP
7695 Cardinal Ct Ste 370
San Diego, CA 92123
(858) 277-1599
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Contemporary Ob/gyn Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Mansour, Anmar A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1881617884
License: A92470
License Type: PCP
8008 Frost St Ste 406
San Diego, CA 92123
(858) 277-1113
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Contemporary Ob/gyn Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Martinez, Kelly A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1063616639
License: A119682
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7900
Affiliated Group(s): North
County Health Services
Board Certified: No
Mc Nally, Colleen P MD
Obstetrics & Gynecology
Gender: Female
NPI: 1114039062
License: G74059
License Type: PCP
3750 Convoy St Ste 312
San Diego, CA 92111
(858) 292-7200
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women, Sharp Memorial
Hospital
Affiliated Group(s): Womens
Healthcare A Medical
Corporation
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1669607388
License: A131156
License Type: PCP
4910 Directors Pl Ste 200
San Diego, CA 92121
(858) 657-7200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mcqueen, Dana B MD
Obstetrics & Gynecology
Gender: Female
NPI: 1669768180
License: A141023
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mendez, Diego MD
Obstetrics & Gynecology
Gender: Male
NPI: 1437181922
License: A47906
License Type: PCP
3298 Governor Dr Ste 22129
San Diego, CA 92122
(619) 428-4463
Mon-Fri 8:00 am-6:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Mendez, Diego MD
Obstetrics & Gynecology
Gender: Male
NPI: 1437181922
License: A47906
License Type: PCP
4282 Genesee Ave Ste 201
San Diego, CA 92117
(858) 268-0300
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Mendez, Diego MD
San Diego
Obstetrics & Gynecology
Gender: Male
NPI: 1437181922
License: A47906
License Type: PCP
6973 Linda Vista Rd
San Diego, CA 92111
(858) 279-9676
Mon 8:30 am-5:30 pm, Tue 8:30
am-9:00 pm, Wed-Fri 8:30
am-5:30 pm, Sat 9:00 am-4:00
pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Miller, Christine MD
Obstetrics & Gynecology
Gender: Female
NPI: 1154346583
License: G82246
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mody, Sheila MD
Obstetrics & Gynecology
Gender: Female
NPI: 1952561102
License: A117818
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3700
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Olsen, Richelle MD
Obstetrics & Gynecology
Gender: Female
NPI: 1760674329
License: A115691
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-2384
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
51
Primary Care Providers
San Diego
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Petersen, Sandra R MD
Roeder, Hilary A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Reggiardo, Gina E MD
Obstetrics & Gynecology
Gender: Female
NPI: 1578729315
License: A99646
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Resnick, Robert MD
Obstetrics & Gynecology
Gender: Male
NPI: 1417980962
License: G18421
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-2880
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Resnik, Jamie L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1558310557
License: A66580
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-7878
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1841495595
License: A115798
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sefa Boakye, Kofi D MD
Obstetrics & Gynecology
Gender: Male
NPI: 1902993660
License: G59670
License Type: PCP
286 Euclid Ave Ste 205
San Diego, CA 92114
(619) 263-6141
Mon-Thu 9:00 am-4:00 pm, Fri
9:00 am-12:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Semo, Robert J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1326030669
License: A42951
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 521-2830
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
52
Primary Care Providers
San Diego
Tajran, Deena S MD
Obstetrics & Gynecology
Gender: Female
NPI: 1891757217
License: A55154
License Type: PCP
10737 Camino Ruiz Ste 114
San Diego, CA 92126
(858) 578-9600
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Advanced
Healthcare Center Apc
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Thomas, Steven J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1639242589
License: A40379
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Trujillo, Jennifer C DO
Obstetrics & Gynecology
Gender: Female
NPI: 1053407593
License Type: PCP
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Underwood, Lisa DO
Obstetrics & Gynecology
Gender: Female
NPI: 1225319742
License: 20A11865
License Type: PCP
3750 Convoy St Ste 312
San Diego, CA 92111
(858) 292-7200
Affiliated Group(s): Womens
Healthcare A Medical
Corporation
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Varon, Shira MD
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1619047545
License: A96901
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Vu, Lac Thien MD
San Diego
Obstetrics & Gynecology
Gender: Male
NPI: 1497828255
License: A54417
License Type: PCP
3343 4th Ave
San Diego, CA 92103
(619) 299-0840
Affiliated Group(s): Best Start
Birth Center, Best Start
Midwife Services, Lac Thien Vu
Md
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Vu, Lac Thien MD
Obstetrics & Gynecology
Gender: Male
NPI: 1497828255
License: A54417
License Type: PCP
5555 Reservoir Dr Ste 205
San Diego, CA 92120
(619) 286-5858
Affiliated Group(s): Best Start
Birth Center, Best Start
Midwife Services, Lac Thien Vu
Md
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Washington, Sierra Li'en MD
Obstetrics & Gynecology
Gender: Female
NPI: 1386845162
License: A99781
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish, French
Weber, Akilah F MD
Obstetrics & Gynecology
Gender: Female
NPI: 1760652713
License: C56035
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
53
Primary Care Providers
San Marcos
Williams, Sigrid G MD
Obstetrics & Gynecology
Gender: Female
NPI: 1033485511
License: A128995
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Winesburg, Jennifer J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Winesburg, Jennifer J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Winesburg, Jennifer J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Winesburg, Jennifer J DO
Zieg, Alan J MD
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Winesburg, Jennifer J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Wong, Michael Chi Wai MD
Obstetrics & Gynecology
Gender: Male
NPI: 1033113600
License: G34771
License Type: PCP
4282 Genesee Ave Ste 201
San Diego, CA 92117
(858) 268-0300
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): California
Womens Medical Clinic
Board Certified: Yes
Zieg, Alan J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
❖
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Zieg, Alan J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Zieg, Alan J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2420
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Zieg, Alan J MD
San Marcos
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
SAN MARCOS
Buringrud, Duane M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1215971999
License: G34140
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Cizmar, Branislav MD
Obstetrics & Gynecology
Gender: Male
NPI: 1679554372
License: A80606
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
54
Primary Care Providers
San Ysidro
Ebrahimi Adib, Tannaz MD
Obstetrics & Gynecology
NPI: 1164663860
License: A121761
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Gilson, George J MD
Obstetrics & Gynecology
Gender: Male
NPI: 1588677751
License: G88159
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: Yes
Physician's Language(s):
Spanish
Grauer, Nancy M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1740216167
License: G59913
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Leon, Josue D MD
Obstetrics & Gynecology
Gender: Male
NPI: 1497799092
License: A80635
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Martinez, Kelly A MD
Carson, Latisa S MD
Obstetrics & Gynecology
Gender: Female
NPI: 1063616639
License: A119682
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Muhtaseb, Talal R MD
Obstetrics & Gynecology
Gender: Male
NPI: 1700993037
License: A40901
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): North
County Health Services,
Vantage Medical Group, Vista
Community Clinic
Board Certified: Yes
Physician's Language(s):
Spanish, Arabic
SAN YSIDRO
Arce, Jorge T MD
Obstetrics & Gynecology
Gender: Male
NPI: 1245344514
License: A35391
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Infertility
Ob/gyn Medical Group,
Integrated Health Partners
Board Certified: Yes
Physician's Language(s):
Spanish
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1245229129
License: A72235
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Hospital(s): Paradise
Valley Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Latisa S
Carson Md Dba Unique
Healthcare For Women
Board Certified: Yes
Carson, Latisa S MD
Obstetrics & Gynecology
Gender: Female
NPI: 1245229129
License: A72235
License Type: PCP
4050 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 8:30am-5:30pm, Sat
8:00am-2:30pm, Sun
10:00am-4:00pm
Affiliated Hospital(s): Paradise
Valley Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Latisa S
Carson Md Dba Unique
Healthcare For Women
Board Certified: Yes
Casele, Holly Lynn MD ❖
Obstetrics & Gynecology
Gender: Female
NPI: 1255348744
License: G87630
License Type: PCP
4050 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Dinh, My T DO
San Ysidro
Obstetrics & Gynecology
Gender: Female
NPI: 1316146996
License: 20A9907
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Dinh, My T DO
Obstetrics & Gynecology
Gender: Female
NPI: 1316146996
License: 20A9907
License Type: PCP
4050 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 8:30am-5:30pm, Sat
8:00am-2:30pm, Sun
10:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Sefa Boakye, Kofi D MD
Obstetrics & Gynecology
Gender: Male
NPI: 1902993660
License: G59670
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
55
Primary Care Providers
Spring Valley
SPRING VALLEY
Alimonos, Lysistrati DO
Obstetrics & Gynecology
NPI: 1619397031
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Buechner, Charlene A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1376663831
License: A68463
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Cervantes, Sandra M MD
Obstetrics & Gynecology
Gender: Female
NPI: 1073701041
License: A118095
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Davis, Tracie L MD
Steller, Courtney J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1275680738
License: A99627
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Kruppa, Nicole MD
Obstetrics & Gynecology
Gender: Female
NPI: 1437446408
License: A122400
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Petersen, Sandra R MD
Obstetrics & Gynecology
Gender: Female
NPI: 1295795672
License: G51961
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
❖
Obstetrics & Gynecology
Gender: Female
NPI: 1114247160
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Vonherzen, Josephine L MD
Obstetrics & Gynecology
Gender: Female
NPI: 1821171133
License: G23216
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Winesburg, Jennifer J DO
Obstetrics & Gynecology
Gender: Female
NPI: 1811162456
License: 20A11535
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Zieg, Alan J MD
Vista
Obstetrics & Gynecology
Gender: Male
NPI: 1699790634
License: G78814
License Type: PCP
8788 Jamacha Rd
Spring Valley, CA 91977
(619) 515-2555
Mon 8:30 am-5:30 pm, TueWed 8:30 am-7:00 pm, Thu-Fri
8:30 am-5:30 pm
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
VISTA
Ching, Suzanne MD
Obstetrics & Gynecology
Gender: Female
NPI: 1174608749
License: A73776
License Type: PCP
2067 W Vista Way Ste 225
Vista, CA 92083
(760) 758-3000
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women, Tri City Medical
Center
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Dhillon Ashley, Tina J MD
Obstetrics & Gynecology
Gender: Female
NPI: 1518998814
License: A77950
License Type: PCP
1000 Vale Terrace
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00am-5:00pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
56
Primary Care Providers
Carlsbad
Karanikkis, Christos DO
Obstetrics & Gynecology
Gender: Male
NPI: 1235192691
License: 20A9149
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, San Marcos
Medical Group Inc
Board Certified: No
Physician's Language(s): Greek
Klausen, Jack H MD
Obstetrics & Gynecology
Gender: Male
NPI: 1962429696
License: C31268
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Klausen, Jack H MD
Obstetrics & Gynecology
Gender: Male
NPI: 1962429696
License: C31268
License Type: PCP
134 Grapevine Rd
Vista, CA 92083
(760) 631-5030
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Leonard, Lisa A MD
Obstetrics & Gynecology
Gender: Female
NPI: 1477588598
License: G79676
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Muhtaseb, Talal R MD
Shaffer, Peggy Marie MD
Obstetrics & Gynecology
Gender: Male
NPI: 1700993037
License: A40901
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): North
County Health Services,
Vantage Medical Group, Vista
Community Clinic
Board Certified: Yes
Physician's Language(s):
Spanish, Arabic
Quan, Maria MD
Obstetrics & Gynecology
Gender: Female
NPI: 1043281405
License: C143703
License Type: PCP
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 9:00am-8:00pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: Yes
Pediatrics
CARLSBAD
Iyengar, Radha A K MD
Pediatrics
Gender: Female
NPI: 1265448112
License: A49273
License Type: PCP
1295 Carlsbad Village Dr Ste
100
Carlsbad, CA 92008
(760) 720-7766
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Tagalog
❖
Pediatrics
Gender: Female
NPI: 1013962240
License: G85876
License Type: PCP
3050 Madison St
Carlsbad, CA 92008
(760) 720-7766
Mon-Thu 9:00 am-8:00 pm, Fri
9:00 am-5:00 pm, Sat 9:00
am-4:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
CHULA VISTA
Atienza, Pamela V MD
Pediatrics
Gender: Female
NPI: 1417916107
License: A64995
License Type: PCP
890 Eastlake Pkwy Ste 200
Chula Vista, CA 91914
(619) 656-6817
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Pamela V
Atienza Md A Prof Corp,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Barbadillo, Ferdinand F MD
Pediatrics
Gender: Male
NPI: 1982662193
License: A49307
License Type: PCP
890 Eastlake Pkwy Ste 200
Chula Vista, CA 91914
(619) 656-6817
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Chula Vista
Battikhi, Huda S MD
Pediatrics
Gender: Female
NPI: 1437592086
License: A133081
License Type: PCP
1323 3rd Ave
Chula Vista, CA 91911
(619) 409-6900
Affiliated Group(s): Gateway
Comprehensive Medical Group,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, Urdu
Di Franco, Matthew J MD
Pediatrics
Gender: Male
NPI: 1841343548
License: G58994
License Type: PCP
1635 3rd Ave Ste J
Chula Vista, CA 91911
(619) 426-8121
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Integrated
Health Partners, Sandra Perez
Mcgraw Md Faap
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
Fresno, Blanca I MD
Pediatrics
Gender: Female
NPI: 1346258787
License: A45205
License Type: PCP
1741 Eastlake Pkwy Ste 107
Chula Vista, CA 91915
(619) 482-1700
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Paradise
Family Health Center, Vantage
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
57
Primary Care Providers
El Cajon
Garcia, Carlos M MD
Pediatrics
Gender: Male
NPI: 1417959370
License: A42509
License Type: PCP
1392 E Palomar Ste 501
Chula Vista, CA 91913
(619) 271-4059
Mon-Fri 8:30 am-5:30 pm, Sat
9:00 am-12:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Carlos
Garcia Md Dba Heritage Park
Pediatrics
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, IB, P, W,
R, E
Garcia, Rafael A MD
Pediatrics
Gender: Male
NPI: 1053414086
License: A50715
License Type: PCP
752 Medical Center Ct Ste 210
Chula Vista, CA 91911
(619) 656-0206
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, IB, P
Ghahremani, Simin M MD
Pediatrics
Gender: Female
NPI: 1508904657
License: C51110
License Type: PCP
855 3rd Ave Ste 2200
Chula Vista, CA 91911
(619) 426-0100
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s): Farsi
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Oira, Victoria R MD
Sanchez, Carlos J MD
Pediatrics
Gender: Female
NPI: 1134172448
License: A51972
License Type: PCP
890 Eastlake Pkwy Ste 203
Chula Vista, CA 91914
(619) 656-3020
Mon-Tue 8:30 am-4:30 pm,
Wed 8:30 am-1:30 pm, Thu-Fri
8:30 am-4:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Victoria R
Oira Md Faap Inc
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Piansay, Maria MD
Pediatrics
Gender: Female
NPI: 1669680351
License: A93785
License Type: PCP
1635 3rd Ave Ste J
Chula Vista, CA 91911
(619) 426-8121
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Rios Araico, Willy J MD
Pediatrics
Gender: Male
NPI: 1942226030
License: A34295
License Type: PCP
855 3rd Ave Ste 2200
Chula Vista, CA 91911
(619) 426-0100
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
❖
Pediatrics
Gender: Male
NPI: 1114182094
License: A22648
License Type: PCP
1635 3rd Ave Ste J
Chula Vista, CA 91911
(619) 426-8121
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
EL CAJON
Chace, Constance R MD
Pediatrics
Gender: Female
NPI: 1154682953
License Type: PCP
1111 W Chase Ave
El Cajon, CA 92020
(619) 515-2499
Mon-Fri 8:30am-5:30pm, Sat
8:30am-12:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Sheth, Alka S MD
Pediatrics
Gender: Female
NPI: 1639366123
License: A35689
License Type: PCP
165 S 1st St
El Cajon, CA 92019
(619) 312-0347
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): La Maestra
Family Clinic Inc, Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Urdu
Escondido
Tsai Tulagan, Bertha F DO
Pediatrics
Gender: Female
NPI: 1417914268
License: 20A9673
License Type: PCP
855 E Madison Ave
El Cajon, CA 92020
(619) 440-2751
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish, Taiwanese
ENCINITAS
Murphy, Carmel MD
Pediatrics
Gender: Male
NPI: 1790824787
License: A103940
License Type: PCP
1130 Second St
Encinitas, CA 92024
(760) 753-7842
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
Physician's Language(s):
Spanish
Shaffer, Peggy Marie MD
Pediatrics
Gender: Female
NPI: 1013962240
License: G85876
License Type: PCP
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Group(s): North
County Health Services
Board Certified: No
ESCONDIDO
Harrison, Daniel C MD
Pediatrics
Gender: Male
NPI: 1629098884
License: G81812
License Type: PCP
555 E Valley Pkwy
Escondido, CA 92074
(760) 739-3000
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Physician's Language(s):
Spanish, German, Greek
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
58
Primary Care Providers
La Jolla
Konzen, Katherine M MD
Pediatrics
Gender: Female
NPI: 1497826242
License: A49512
License Type: PCP
625 W Citracado Pkwy Ste 100
Escondido, CA 92025
(760) 294-9260
Affiliated Group(s): San Diego
Family Care, San Ysidro Health
Center
Board Certified: No
Payne, Elizabeth MD
Pediatrics
Gender: Female
NPI: 1043229305
License: G74067
License Type: PCP
625 W Citracado Pkwy Ste 200
Escondido, CA 92025
(760) 746-2641
Mon-Fri 8:00 am-5:00 pm, Sat
8:00 am-12:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Taft, Christine P MD
Pediatrics
Gender: Female
NPI: 1740338540
License: G51111
License Type: PCP
426 N Date St
Escondido, CA 92025
(760) 690-5900
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Tellechea Sanchez, Selmira MD
Pediatrics
Gender: Male
NPI: 1730288747
License: G83438
License Type: PCP
426 N Date St
Escondido, CA 92025
(760) 690-5900
Mon-Fri 8:00am-5:00pm
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Tsai Tulagan, Bertha F DO
Wang, Helen C MD ❖
Pediatrics
Gender: Female
NPI: 1417914268
License: 20A9673
License Type: PCP
426 N Date St
Escondido, CA 92025
(760) 690-5900
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish, Taiwanese
Zandkarimi, Fariba MD
Pediatrics
Gender: Female
NPI: 1356373674
License: A46161
License Type: PCP
240 W Mission Ave Ste A&b
Escondido, CA 92025
(760) 747-5400
Mon-Tue 6:00 am-10:00 pm,
Wed 8:00 am-6:00 pm, Thu-Fri
6:00 am-10:00 pm, Sat 9:00
am-6:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Farsi
LA JOLLA
Corbett, Bryan M MD
Pediatrics
Gender: Male
NPI: 1669762472
License: A125417
License Type: PCP
8910 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 249-6800
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rose, Olga D MD ❖
Pediatrics
Gender: Female
NPI: 1740560044
License: A143536
License Type: PCP
8910 Villa La Jolla Dr Ste 110
La Jolla, CA 92037
(858) 203-4962
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates
Board Certified: No
Physician's Language(s):
Russian
❖
Pediatrics
Gender: Female
NPI: 1437492667
License: A132504
License Type: PCP
8910 Villa La Jolla Dr Ste 110
La Jolla, CA 92037
(858) 203-4962
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
Xu, Marian MD
Pediatrics
Gender: Female
NPI: 1477996148
License: A124817
License Type: PCP
8910 Villa La Jolla Dr Ste 100
La Jolla, CA 92037
(858) 249-6800
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Naik, Shilpa MD
Pediatrics
Gender: Female
NPI: 1902156904
License: A122868
License Type: PCP
6942 University Ave Ste A
La Mesa, CA 91942
(619) 698-2184
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Grossmont
Pediatrics
Board Certified: No
Physician's Language(s): Hindi,
Marathi
Ronquillo, Rina R MD
Pediatrics
Gender: Female
NPI: 1407047749
License: A99286
License Type: PCP
6942 University Ave Ste A
La Mesa, CA 91942
(619) 698-2184
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Grossmont
Pediatrics
Board Certified: No
Physician's Language(s):
Spanish, Arabic, Tagalog
National City
NATIONAL CITY
Bailony, Mohammed T MD
Pediatrics
Gender: Male
NPI: 1376625913
License: A34406
License Type: PCP
655 Euclid Ave Ste 205
National City, CA 91950
(619) 470-1945
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s): Arabic
Barbadillo, Ferdinand F MD
Pediatrics
Gender: Male
NPI: 1982662193
License: A49307
License Type: PCP
502 Euclid Ave Ste 201
National City, CA 91950
(619) 475-6204
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Barbadillo, Teresita T MD
Pediatrics
Gender: Female
NPI: 1952416695
License: A38742
License Type: PCP
655 Euclid Ave Ste 201
National City, CA 91950
(619) 267-8601
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Paradise
Valley Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
59
Primary Care Providers
Oceanside
Di Franco, Matthew J MD
Pediatrics
Gender: Male
NPI: 1841343548
License: G58994
License Type: PCP
502 Euclid Ave Ste 202
National City, CA 91950
(619) 267-1022
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, Sandra Perez
Mcgraw Md Faap
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P
Fresno, Blanca I MD
Pediatrics
Gender: Female
NPI: 1346258787
License: A45205
License Type: PCP
655 Euclid Ave Ste 207
National City, CA 91950
(619) 475-4575
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Paradise
Family Health Center, Vantage
Medical Group
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Garcia, Rafael A MD ❖
Pediatrics
Gender: Male
NPI: 1053414086
License: A50715
License Type: PCP
610 Euclid Ave Ste 302
National City, CA 91950
(619) 527-7700
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Gateway
Medical Group Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Lim, Josephine J MD
Sheth, Alka S MD
Pediatrics
Gender: Female
NPI: 1548343478
License: A48197
License Type: PCP
2743 Highland Ave
National City, CA 91950
(619) 474-2284
Mon-Sat 8:30 am-5:30 pm, Sun
9:00 am-1:00 pm
Affiliated Group(s): Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish
Perez Mccraw, Sandra L MD
Pediatrics
Gender: Female
NPI: 1073674370
License: G62676
License Type: PCP
502 Euclid Ave Ste 202
National City, CA 91950
(619) 267-1022
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Sandra
Perez Mcgraw Md Faap,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P
Sheth, Alka S MD
Pediatrics
Gender: Female
NPI: 1639366123
License: A35689
License Type: PCP
217 Highland Ave
National City, CA 91950
(619) 434-7308
Mon-Fri 8:30 am-6:00 pm
Affiliated Group(s): La Maestra
Family Clinic Inc, Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Urdu
❖
Pediatrics
Gender: Female
NPI: 1639366123
License: A35689
License Type: PCP
2743 Highland Ave
National City, CA 91950
(619) 474-2284
Mon-Sat 8:30 am-5:30 pm, Sun
9:00 am-1:00 pm
Affiliated Group(s): La Maestra
Family Clinic Inc, Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Urdu
Tsai Tulagan, Bertha F DO
Pediatrics
Gender: Female
NPI: 1417914268
License: 20A9673
License Type: PCP
2400 East Eighth St
National City, CA 91950
(619) 662-4118
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish, Taiwanese
Tulagan, Joseph C MD
Pediatrics
Gender: Male
NPI: 1598722555
License: A98025
License Type: PCP
3400 E 8th St Ste 105
National City, CA 91950
(619) 382-3350
Affiliated Group(s): Joseph
Tulagan Md
Board Certified: No
Physician's Language(s):
Spanish
Valencia, Mariles F MD
Pediatrics
Gender: Female
NPI: 1275541625
License: A54929
License Type: PCP
655 Euclid Ave Ste 207
National City, CA 91950
(619) 475-4575
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Paradise
Family Health Center, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Accessibility: Basic, IB, P, W, R,
E, EB
Vitug, Elena P MD
Oceanside
Pediatrics
Gender: Female
NPI: 1285746214
License: A44349
License Type: PCP
502 Euclid Ave Ste 201
National City, CA 91950
(619) 475-6204
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
OCEANSIDE
Calhoun, Chanelle R MD
Pediatrics
Gender: Female
NPI: 1437166709
License: G75390
License Type: PCP
2210 Mesa Dr Ste 12
Oceanside, CA 92054
(760) 966-3306
Mon-Fri 7:30 am-6:00 pm, Sat
8:00 am-4:30 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): North
County Health Services
Board Certified: No
Capella, Marina N MD
Pediatrics
Gender: Female
NPI: 1265711709
License: A125409
License Type: PCP
3220 Mission Ave Ste 1
Oceanside, CA 92054
(760) 433-3155
Affiliated Group(s): North
County Health Services
Board Certified: No
Murphy, Carmel MD
Pediatrics
Gender: Male
NPI: 1790824787
License: A103940
License Type: PCP
605 Crouch St Bldg C
Oceanside, CA 92054
(760) 757-4566
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
60
Primary Care Providers
Poway
Neves, Vanessa L MD
Pediatrics
Gender: Female
NPI: 1174672547
License: C54782
License Type: PCP
605 Crouch St Bldg C
Oceanside, CA 92054
(760) 757-4566
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Park, Ronald E MD
Pediatrics
Gender: Male
NPI: 1881695914
License: A55144
License Type: PCP
2210 Mesa Dr Ste 12
Oceanside, CA 92054
(760) 966-3306
Mon-Fri 7:30 am-6:00 pm, Sat
8:00 am-4:30 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Zachry, Alison MD
Pediatrics
Gender: Female
NPI: 1922402858
License: A131678
License Type: PCP
2210 Mesa Dr Ste 300
Oceanside, CA 92054
(760) 736-6767
Affiliated Group(s): North
County Health Services
Board Certified: No
POWAY
Mortimer, Dori R MD
Pediatrics
Gender: Female
NPI: 1417928417
License: A75016
License Type: PCP
15725 Pomerado Rd Ste 203
Poway, CA 92064
(858) 673-3340
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Accessibility: Limited, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Payne, Elizabeth MD
Chace, Constance R MD
Pediatrics
Gender: Female
NPI: 1043229305
License: G74067
License Type: PCP
15725 Pomerado Rd Ste 203
Poway, CA 92064
(858) 673-3340
Affiliated Group(s): North
County Health Services
Board Certified: No
Accessibility: Limited, E
Rendler, Nathan MD
Pediatrics
Gender: Male
NPI: 1275531337
License: G64231
License Type: PCP
15525 Pomerado Rd Ste B1
Poway, CA 92064
(858) 487-8333
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Valle Verde
Pediatrics Inc
Board Certified: No
Physician's Language(s):
Spanish, Hebrew
Accessibility: Limited, R
RAMONA
Yung, Doris A MD
Pediatrics
Gender: Female
NPI: 1730386863
License: A89893
License Type: PCP
217 E Earlham St
Ramona, CA 92065
(760) 789-1223
Affiliated Group(s): Integrated
Health Partners
Board Certified: Yes
SAN DIEGO
Antos, Michael MD
Pediatrics
Gender: Male
NPI: 1891808929
License: A42909
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(858) 499-2600
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates
Board Certified: No
❖
Pediatrics
Gender: Female
NPI: 1154682953
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Chace, Constance R MD
Pediatrics
Gender: Female
NPI: 1154682953
License Type: PCP
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Chace, Constance R MD
Pediatrics
Gender: Female
NPI: 1154682953
License Type: PCP
4094 4th Ave
San Diego, CA 92103
(619) 515-2545
Mon-Thu 8:00am-9:00pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Chace, Constance R MD
Pediatrics
Gender: Female
NPI: 1154682953
License Type: PCP
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
San Diego
Chace, Constance R MD
Pediatrics
Gender: Female
NPI: 1154682953
License Type: PCP
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Crow, Janet K MD ❖
Pediatrics
Gender: Female
NPI: 1437180965
License: G73723
License Type: PCP
200 W Arbor Dr Hosp Based
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Curet, Zulma MD
Pediatrics
Gender: Female
NPI: 1841561107
License: A119661
License Type: PCP
165 S 1st St
San Diego, CA 92109
(619) 312-0347
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Physician's Language(s):
Spanish
Curet, Zulma MD
Pediatrics
Gender: Female
NPI: 1841561107
License: A119661
License Type: PCP
4060 Fairmount Ave
San Diego, CA 92105
(619) 584-1612
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Physician's Language(s):
Spanish
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
61
Primary Care Providers
San Diego
D'augustine, Stephanie L MD
Pediatrics
Gender: Female
NPI: 1558424440
License: A72885
License Type: PCP
3020 Childrens Way Ste 5075
San Diego, CA 92123
(858) 309-7701
Affiliated Group(s): San Diego
Family Care, San Ysidro Health
Center
Board Certified: No
De La Mora, Oscar M MD
Pediatrics
Gender: Male
NPI: 1982703898
License: A50769
License Type: PCP
995 Gateway Center Way Ste
202
San Diego, CA 92102
(619) 264-3107
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Clinica
Medica Delamora Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, R, E
Dillon, Benedict MD
Pediatrics
Gender: Male
NPI: 1710142708
License: A111118
License Type: PCP
1016 Outer Rd
San Diego, CA 92154
(619) 429-3733
Mon-Tue 8:00am-8:00pm, Wed
8:00am-5:00pm, Thu
8:00am-8:00pm, Fri
8:00am-5:00pm, Sat
8:00am-12:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Dillon, Benedict MD
Pediatrics
Gender: Male
NPI: 1710142708
License: A111118
License Type: PCP
4060 Fairmount Ave
San Diego, CA 92105
(619) 280-4213
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Dokich, Sretenka MD
Friedman, Jaime B MD
Pediatrics
Gender: Female
NPI: 1154409035
License: A51447
License Type: PCP
3020 Childrens Way
San Diego, CA 92123
(858) 576-1700
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Doshi, Neelima G MD
Pediatrics
Gender: Female
NPI: 1417921578
License: A67626
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): San Diego
Family Care, San Ysidro Health
Center
Board Certified: No
Doshi, Neelima G MD
Pediatrics
Gender: Female
NPI: 1417921578
License: A67626
License Type: PCP
3020 Childrens Way Ste 5070
San Diego, CA 92123
(858) 576-5818
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): San Diego
Family Care, San Ysidro Health
Center
Board Certified: No
Friedman, Jaime B MD
Pediatrics
Gender: Female
NPI: 1144297961
License: A79195
License Type: PCP
16918 Dove Canyon Rd Ste 200
San Diego, CA 92127
(858) 924-1960
Affiliated Hospital(s):
Pomerado Hospital
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Accessibility: Limited, P, R, E
❖
Pediatrics
Gender: Female
NPI: 1144297961
License: A79195
License Type: PCP
6699 Alvarado Rd Ste 2200
San Diego, CA 92120
(619) 265-3400
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s):
Pomerado Hospital
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish, Arabic
Gahagan, Sheila MD
Pediatrics
Gender: Female
NPI: 1053327221
License: C53666
License Type: PCP
7910 Frost St Ste 360
San Diego, CA 92123
(858) 496-4860
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: Yes
Graff, Nancy R MD
Pediatrics
Gender: Female
NPI: 1578505640
License: G64931
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(858) 496-4800
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
San Diego
Hussain, Sabiha MD
Pediatrics
Gender: Female
NPI: 1952476327
License: A95750
License Type: PCP
5222 Balboa Ave Ste 42
San Diego, CA 92117
(858) 268-0702
Mon-Thu 8:30am-5:00pm, Fri
8:30am-3:00pm
Affiliated Group(s): Advanced
Pediatric Medical Group Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Farsi, Urdu
Johnson Rolfes, Julie K MD
Pediatrics
Gender: Female
NPI: 1174883995
License: A127327
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3285
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Kern, Leah D MD
Pediatrics
Gender: Female
NPI: 1598912487
License: A107537
License Type: PCP
330 Lewis St Ste 400
San Diego, CA 92103
(619) 471-9260
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Kern, Leah D MD
Pediatrics
Gender: Female
NPI: 1598912487
License: A107537
License Type: PCP
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
62
Primary Care Providers
San Diego
Kern, Leah D MD ❖
Pediatrics
Gender: Female
NPI: 1598912487
License: A107537
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(858) 496-4800
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Konzen, Katherine M MD
Pediatrics
Gender: Female
NPI: 1497826242
License: A49512
License Type: PCP
3020 Childrens Way Ste 5075
San Diego, CA 92123
(858) 309-7701
Affiliated Group(s): San Diego
Family Care, San Ysidro Health
Center
Board Certified: No
Kumar, Maya MD
Pediatrics
Gender: Female
NPI: 1184066367
License: A126520
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(858) 496-4800
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates
Board Certified: No
Le, Nguyen L MD
Pediatrics
Gender: Male
NPI: 1548308109
License: A83309
License Type: PCP
5507 El Cajon Blvd Ste B
San Diego, CA 92115
(619) 582-8814
Mon-Wed 9:00 am-6:00 pm,
Thu 9:00 am-12:00 pm, Fri 9:00
am-6:00 pm, Sat 9:00 am-12:00
pm
Affiliated Group(s): Nguyen
Lance Le Md, Vantage Medical
Group
Board Certified: Yes
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Lim, Josephine J MD
Pardee, Perrie MD
Pediatrics
Gender: Female
NPI: 1548343478
License: A48197
License Type: PCP
10737 Camino Ruiz Ste 235
San Diego, CA 92126
(858) 578-4220
Mon-Sat 8:30 am-5:00 pm
Affiliated Group(s): Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish
Longhurst, Christpher A MD
Pediatrics
Gender: Male
NPI: 1639238462
License: A80051
License Type: PCP
200 West Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates
Board Certified: No
Physician's Language(s):
Spanish
Loper, Karen S MD
Pediatrics
Gender: Female
NPI: 1619908936
License: G76438
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(619) 280-2505
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Diego
Family Care, Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Laotian, Tagalog,
Vietnamese
Mortimer, Dori R MD
Pediatrics
Gender: Female
NPI: 1417928417
License: A75016
License Type: PCP
3020 Childrens Way Ste 5075
San Diego, CA 92123
(858) 309-7701
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
❖
Pediatrics
Gender: Female
NPI: 1578850988
License: A123826
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 417-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rhee, Kyung E MD
Pediatrics
Gender: Female
NPI: 1013996529
License: A112676
License Type: PCP
3020 Childrens Way
San Diego, CA 92123
(858) 576-5841
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates
Board Certified: No
Rose, Olga D MD ❖
Pediatrics
Gender: Female
NPI: 1740560044
License: A143536
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(858) 496-4800
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates
Board Certified: No
Physician's Language(s):
Russian
Sadrieh, Jay J MD
Pediatrics
Gender: Male
NPI: 1548230998
License: A46462
License Type: PCP
5222 Balboa Ave Ste 42
San Diego, CA 92117
(858) 268-0702
Mon-Thu 8:30am-5:00pm, Fri
8:30am-3:00pm
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Advanced
Pediatric Medical Group Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Urdu
San Diego
Schwartz, Alexandra MD
Pediatrics
Gender: Female
NPI: 1740206747
License: A60259
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sheth, Alka S MD
Pediatrics
Gender: Female
NPI: 1639366123
License: A35689
License Type: PCP
10737 Camino Ruiz Ste 235
San Diego, CA 92126
(858) 578-4220
Mon-Sat 8:30 am-5:00 pm
Affiliated Group(s): La Maestra
Family Clinic Inc, Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Urdu
Sheth, Alka S MD
Pediatrics
Gender: Female
NPI: 1639366123
License: A35689
License Type: PCP
4060 Fairmount Ave
San Diego, CA 92105
(619) 584-1612
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): La Maestra
Family Clinic Inc, Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Urdu
Steele, Lauren E MD
Pediatrics
Gender: Female
NPI: 1780028340
License: A132448
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
63
Primary Care Providers
San Marcos
Wang, Helen C MD ❖
Pediatrics
Gender: Female
NPI: 1437492667
License: A132504
License Type: PCP
7910 Frost St Ste 350
San Diego, CA 92123
(858) 496-4800
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
Williams, Brian MD
Pediatrics
Gender: Male
NPI: 1396076618
License: A114904
License Type: PCP
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Wong, Yolanda Y MD
Pediatrics
Gender: Female
NPI: 1851599872
License: A94449
License Type: PCP
4305 University Ave Ste 150
San Diego, CA 92105
(619) 280-2058
Mon-Fri 8:00 am-5:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Zandkarimi, Fariba MD
Morris, Kenneth H MD
Pediatrics
Gender: Female
NPI: 1356373674
License: A46161
License Type: PCP
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:15am-5:00pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Farsi
Accessibility: Basic, IB, P, W, R,
E, EB
Zandkarimi, Fariba MD
Pediatrics
Gender: Female
NPI: 1356373674
License: A46161
License Type: PCP
3514 30th St
San Diego, CA 92104
(619) 515-2323
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Farsi
SAN MARCOS
Malhotra, Arati MD
Pediatrics
Gender: Male
NPI: 1215135306
License: A63903
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
❖
Pediatrics
Gender: Male
NPI: 1851307144
License: G79634
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Murphy, Carmel MD
Pediatrics
Gender: Male
NPI: 1790824787
License: A103940
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
Physician's Language(s):
Spanish
Neves, Vanessa L MD
Pediatrics
Gender: Female
NPI: 1174672547
License: C54782
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Posadas, Emerito D MD
Pediatrics
Gender: Male
NPI: 1720093198
License: A48980
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
San Ysidro
Sebiane, Maria G MD
Pediatrics
Gender: Female
NPI: 1740295229
License: G71182
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Shaffer, Peggy Marie MD
Pediatrics
Gender: Female
NPI: 1013962240
License: G85876
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Affiliated Group(s): North
County Health Services
Board Certified: No
Worman, Scott L MD
Pediatrics
Gender: Male
NPI: 1558433276
License: G66734
License Type: PCP
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
SAN YSIDRO
Gahagan, Sheila MD
Pediatrics
Gender: Female
NPI: 1053327221
License: C53666
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Ucsd - Pcp
Pediatric Associates, Ucsd
Medical Group
Board Certified: Yes
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
64
Primary Care Providers
Vista
Liu, Yi H MD
Pediatrics
Gender: Female
NPI: 1871536532
License: A75175
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Ucsd - Pcp
Pediatric Associates
Board Certified: No
Nelson, Theodora J MD
Pediatrics
Gender: Female
NPI: 1326130584
License: G75021
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Shahidyazdani, Tina MD
Pediatrics
Gender: Female
NPI: 1891924858
License: A94813
License Type: PCP
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Shahidyazdani, Tina MD
Pediatrics
Gender: Female
NPI: 1891924858
License: A94813
License Type: PCP
4050 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 8:30am-5:30pm, Sat
8:00am-2:30pm, Sun
10:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mallory, Robert PA
VISTA
Physician Assistant
Amani, Ramin MD
Gender: Male
Pediatrics
NPI: 1588612667
Gender: Male
License: PA16538
NPI: 1659366292
License Type: PCP Extender
License: A53984
3855 Health Sciences Dr
License Type: PCP
La Jolla, CA 92093
950 Civic Center Dr Ste A
(858) 822-6100
Vista, CA 92083
Affiliated Hospital(s): Ucsd
(760) 439-4839
Medical Center
Affiliated Group(s): Vantage
Affiliated Group(s): Ucsd
Medical Group
Medical Group
Board Certified: No
Board Certified: No
Physician's Language(s):
Spanish, Farsi
Pelio, Darren PA
Physician Assistant
LA JOLLA
Bernazzoli, Zachary A PA
Physician Assistant
Gender: Male
NPI: 1619272523
License: PA51758
License Type: PCP Extender
3885 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6600
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Brown, Tiffany C PA
Physician Assistant
Gender: Female
NPI: 1356365563
License: PA20084
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-7778
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Garner, Jardena PA
Physician Assistant
Gender: Female
NPI: 1073561072
License: PA21422
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
❖
Physician Assistant
Gender: Male
NPI: 1386791028
License: PA16037
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-7967
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sutton, Brian PA
Physician Assistant
Gender: Male
NPI: 1629174727
License: PA18573
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Toledo, Silva P PA
Physician Assistant
Gender: Female
NPI: 1063464022
License: PA15199
License Type: PCP Extender
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-3115
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
SAN DIEGO
Bacchus, Sonia L PA
Physician Assistant
Gender: Female
NPI: 1285796458
License: PA16823
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Hindi
Bautista, Marie PA
Physician Assistant
Gender: Female
NPI: 1225258445
License: PA18241
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Denevan, Andrew J PA
Physician Assistant
Gender: Male
NPI: 1811324726
License: PA23100
License Type: PCP Extender
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Franko, Katharine PA
Physician Assistant
Gender: Female
NPI: 1306091996
License: PA 19979
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
65
Primary Care Providers
San Diego
Hernandez, Hetzabel PA
Physician Assistant
Gender: Female
NPI: 1053580670
License: PA19514
License Type: PCP Extender
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Laraway, Judd PA
Physician Assistant
Gender: Male
NPI: 1154505402
License: PA16735
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ridgway, Catherine A PA
Physician Assistant
Gender: Female
NPI: 1184887408
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Salinas, Carla PA
Physician Assistant
Gender: Female
NPI: 1528184769
License: PA13118
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Schroeder, Jennifer PA
Willcott, Aaron M PA
Physician Assistant
Gender: Female
NPI: 1780851253
License: PA19644
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Settineri, Kimberley A PA
Physician Assistant
Gender: Female
NPI: 1114234713
License: PA51376
License Type: PCP Extender
4168 Front St 2nd Flr
San Diego, CA 92103
(619) 543-6303
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Upton, Jacqueline Marie PA
Physician Assistant
Gender: Female
NPI: 1295704328
License: PA21933
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Upton, Jacqueline Marie PA
Physician Assistant
Gender: Female
NPI: 1295704328
License: PA21933
License Type: PCP Extender
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Accessibility: Limited, P, E
❖
San Diego
Physician Assistant
Gender: Male
NPI: 1801120977
License: PA21739
License Type: PCP Extender
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Witt, Christopher J PA
Physician Assistant
Gender: Male
NPI: 1982675708
License: PA19586
License Type: PCP Extender
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Not Accepting New Patients.
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
66
Specialty Care Providers
Acupuncturist
ACUPUNCTURIST
EL CAJON
Candelaria, Ida D AC
Acupuncturist
NPI: 1568539179
License Type: Specialist
237 Avocado Ave Ste 100
El Cajon, CA 92020
(619) 602-3366
Affiliated Group(s): Ida D
Candelaria Lac
Board Certified: No
LA JOLLA
Burr, Douglas C AC
Acupuncturist
Gender: Male
NPI: 1821257825
License: AC9381
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fish, Samuel E AC
Acupuncturist
Gender: Male
NPI: 1184077562
License: AC16806
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ji, Dong AC
Acupuncturist
Gender: Male
NPI: 1912293671
License: AC13205
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Krahn, Shelly AC
SAN DIEGO
Acupuncturist
Akhavan, Farahnaz AC
Gender: Female
Acupuncturist
NPI: 1407095029
Gender: Female
License: AC3512
NPI: 1881795250
License Type: Specialist
License: AC9396
8910 Villa La Jolla Dr Ste 200
License Type: Specialist
La Jolla, CA 92037
2663 Meade Ave
(858) 657-8745
San Diego, CA 92116
Mon-Tue 8:00am-5:00pm, Wed (619) 298-2342
8:00am-8:00pm, Thu-Fri
Mon-Fri 9:00 am-3:00 pm
8:00am-5:00pm
Affiliated Group(s):
Affiliated Hospital(s): Ucsd
Acupuncture And Chiro Center
Medical Center
Of Escondido
Affiliated Group(s): Ucsd
Board Certified: No
Medical Group
Physician's Language(s):
Board Certified: No
Spanish, Khmer, Farsi,
Vietnamese
NATIONAL CITY
Macgurn, Richard B AC
Burr, Douglas C AC
Acupuncturist
Gender: Male
NPI: 1023442993
License: AC13628
License Type: Specialist
2743 Highland Ave
National City, CA 91950
(619) 474-2284
Mon-Sat 8:30 am-5:30 pm, Sun
9:00 am-1:00 pm
Affiliated Group(s): Operation
Samahan
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
OCEANSIDE
Choo, Kwangmyung AC
Acupuncturist
NPI: 1407986268
License Type: Specialist
1906 Oceandside Blvd Ste S
Oceanside, CA 92054
(760) 754-2007
Affiliated Group(s): Oceanside
Acupuncture
Board Certified: No
Physician's Language(s):
Spanish
Acupuncturist
Gender: Male
NPI: 1821257825
License: AC9381
License Type: Specialist
203 W F St Ste 203
San Diego, CA 92101
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Burr, Douglas C AC
Acupuncturist
Gender: Male
NPI: 1821257825
License: AC9381
License Type: Specialist
330 Lewis St Ste 400
San Diego, CA 92103
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Burr, Douglas C AC
Acupuncturist
Gender: Male
NPI: 1821257825
License: AC9381
License Type: Specialist
9333 Genesee Ave Ste 200
San Diego, CA 92121
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Acupuncturist
Burr, Douglas C AC
Acupuncturist
Gender: Male
NPI: 1821257825
License: AC9381
License Type: Specialist
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fish, Samuel E AC
Acupuncturist
Gender: Male
NPI: 1184077562
License: AC16806
License Type: Specialist
203 W F St Ste 203
San Diego, CA 92101
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fish, Samuel E AC
Acupuncturist
Gender: Male
NPI: 1184077562
License: AC16806
License Type: Specialist
330 Lewis St Ste 400
San Diego, CA 92103
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fish, Samuel E AC
Acupuncturist
Gender: Male
NPI: 1184077562
License: AC16806
License Type: Specialist
9333 Genesee Ave Ste 200
San Diego, CA 92121
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fish, Samuel E AC
Acupuncturist
Gender: Male
NPI: 1184077562
License: AC16806
License Type: Specialist
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
67
Specialty Care Providers
Allergy & Immunology
Halsey, Holly A AC
Acupuncturist
Gender: Female
NPI: 1225167034
License: AC6531
License Type: Specialist
9449 Balboa Ave Ste 105
San Diego, CA 92123
(858) 569-4545
Affiliated Group(s): Holly Ann
Halsey Lac Dba Accussage
Board Certified: No
Ji, Dong AC
Acupuncturist
Gender: Male
NPI: 1912293671
License: AC13205
License Type: Specialist
203 W F St Ste 203
San Diego, CA 92101
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ji, Dong AC
Acupuncturist
Gender: Male
NPI: 1912293671
License: AC13205
License Type: Specialist
330 Lewis St Ste 400
San Diego, CA 92103
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ji, Dong AC
Acupuncturist
Gender: Male
NPI: 1912293671
License: AC13205
License Type: Specialist
9333 Genesee Ave Ste 200
San Diego, CA 92121
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ji, Dong AC
Acupuncturist
Gender: Male
NPI: 1912293671
License: AC13205
License Type: Specialist
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Krecu, Leah D AC
ALLERGY &
Acupuncturist
Gender: Female
NPI: 1619012549
License: AC5958
License Type: Specialist
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mrowczynski, Alia M AC
Acupuncturist
Gender: Female
NPI: 1801257043
License: AC16115
License Type: Specialist
203 W F St Ste 203
San Diego, CA 92101
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mrowczynski, Alia M AC
Acupuncturist
Gender: Female
NPI: 1801257043
License: AC16115
License Type: Specialist
330 Lewis St Ste 400
San Diego, CA 92103
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mrowczynski, Alia M AC
Acupuncturist
Gender: Female
NPI: 1801257043
License: AC16115
License Type: Specialist
9333 Genesee Ave Ste 200
San Diego, CA 92121
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mrowczynski, Alia M AC
Acupuncturist
Gender: Female
NPI: 1801257043
License: AC16115
License Type: Specialist
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(844) 747-0474
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
IMMUNOLOGY
POWAY
Ziering, Robert W MD
Allergy & Immunology
Gender: Male
NPI: 1215933148
License: A30813
License Type: Specialist
15644 Pomerado Rd Ste 202
Poway, CA 92064
(760) 941-4444
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Allergy &
Immunology Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish, French
SAN DIEGO
Aceves, Seema MD
Allergy & Immunology
Gender: Female
NPI: 1366511628
License: A74305
License Type: Specialist
3020 Childrens Way Ste 5075
San Diego, CA 92123
(858) 309-7701
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): San Ysidro
Health Center
Board Certified: Yes
Aceves, Seema MD
Allergy & Immunology
Gender: Female
NPI: 1366511628
License: A74305
License Type: Specialist
8110 Birmingham Way
San Diego, CA 92123
(858) 966-5961
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): San Ysidro
Health Center
Board Certified: Yes
Kim, Alexander S MD
Allergy & Immunology
Gender: Male
NPI: 1841429404
License: A125086
License Type: Specialist
8899 University Lane
San Diego, CA 92122
(858) 657-5350
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Audiologist
VISTA
Volpp, Heather S MD
Allergy & Immunology
Gender: Female
NPI: 1083702120
License: A81147
License Type: Specialist
2067 W Vista Way Ste 140
Vista, CA 92083
(760) 941-4444
Affiliated Group(s): Allergy &
Immunology Medical Group
Board Certified: No
Ziering, Robert W MD
Allergy & Immunology
Gender: Male
NPI: 1215933148
License: A30813
License Type: Specialist
2067 W Vista Way Ste 140
Vista, CA 92083
(760) 941-4444
Affiliated Group(s): Allergy &
Immunology Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish, French
AUDIOLOGIST
BONITA
Johnson, Ryan A AU
Audiologist
Gender: Male
NPI: 1306281027
License Type: Specialist
4190 Bonita Rd Ste 104
Bonita, CA 91902
(619) 961-9130
Affiliated Group(s): Ryan
Aaron Johnson Aud
Board Certified: No
CHULA VISTA
Haupt, John J AU
Audiologist
Gender: Male
NPI: 1164581583
License: AU1261
License Type: Specialist
642 3rd Ave Ste G
Chula Vista, CA 91910
(619) 425-1111
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Clear
Choice Clinic
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
68
Specialty Care Providers
Cardiovascular Disease
LA JOLLA
Greear, Meghann AU
Audiologist
Gender: Female
NPI: 1386089696
License Type: Specialist
9834 Genesee Ave Ste 111
La Jolla, CA 92037
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Mattson, Sara L AU
Audiologist
NPI: 1770776395
License: AU2370
License Type: Specialist
9834 Genesee Ave Ste 111
La Jolla, CA 92037
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Novak, Robert E AU
Audiologist
Gender: Male
NPI: 1518974211
License Type: Specialist
9350 Campus Point Dr - Lla
La Jolla, CA 92037
(858) 657-8590
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
SAN DIEGO
Novak, Robert E AU
Audiologist
Gender: Male
NPI: 1518974211
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5683
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Wian, Deborah AU
Berman, Brett J MD
Audiologist
Gender: Female
NPI: 1518996602
License: AU1703
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
Zettner, Erika AU
Audiologist
Gender: Female
NPI: 1629007802
License: AU2315
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
CARDIOVASCULAR
DISEASE
CHULA VISTA
Aizin, Vitali MD
Cardiovascular Disease
Gender: Male
NPI: 1366545733
License: A82761
License Type: Specialist
450 4th Ave Ste 215
Chula Vista, CA 91910
(619) 934-3260
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Integrative
Cardiovascular Center Of La
Jolla, Vitali Aizin Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Portugese
Cardiovascular Disease
Gender: Male
NPI: 1457446684
License: A78854
License Type: Specialist
321 E St Ste A
Chula Vista, CA 91910
(619) 934-3260
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Brett J
Berman Md A Professional
Corporation, Integrative
Cardiovascular Center Of La
Jolla, Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Kafri, Hassan MD
Cardiovascular Disease
Gender: Male
NPI: 1730258401
License: A96002
License Type: Specialist
450 4th Ave Ste 215
Chula Vista, CA 91910
(619) 934-3260
Affiliated Group(s): Hassan
Kafri Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Arabic, Russian
Printz, Beth F MD
Cardiovascular Disease
Gender: Female
NPI: 1790756518
License: G88440
License Type: Specialist
765 Medical Center Ct
Chula Vista, CA 91911
(619) 397-6577
Affiliated Group(s): San Diego
Imaging Kearny Mesa, San
Diego Imaging Chula Vista,
San Diego Imaging Medical
Grpp
Board Certified: No
Sharf, Albert J MD
Cardiovascular Disease
Gender: Male
NPI: 1649349820
License: G72122
License Type: Specialist
1310 Third Ave Ste B4
Chula Vista, CA 91911
(619) 470-7700
Affiliated Group(s): Albert J
Sharf Md Inc, Vantage Medical
Group
Board Certified: No
Cardiovascular Disease
EL CAJON
Belott, Peter H MD
Cardiovascular Disease
Gender: Male
NPI: 1316913833
License: G35571
License Type: Specialist
1625 E Main St Ste 202
El Cajon, CA 92021
(619) 442-0234
Affiliated Group(s): Peter H
Belott Md
Board Certified: No
Delbakhsh, Ali MD
Cardiovascular Disease
Gender: Male
NPI: 1154365872
License: A105158
License Type: Specialist
300 S Pierce St Ste 102
El Cajon, CA 92020
(619) 668-4700
Affiliated Group(s): Zavaro
Cardiovascular Institute
Board Certified: No
Kafri, Hassan MD
Cardiovascular Disease
Gender: Male
NPI: 1730258401
License: A96002
License Type: Specialist
436 S Magnolia Ave
El Cajon, CA 92020
(619) 662-4100
Affiliated Group(s): Hassan
Kafri Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Arabic, Russian
Zavaro, Suhail H MD
Cardiovascular Disease
Gender: Male
NPI: 1730258195
License: A46162
License Type: Specialist
300 S Pierce St Ste 102
El Cajon, CA 92020
(619) 668-4700
Affiliated Group(s): Zavaro
Cardiovascular Institute
Board Certified: Yes
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
69
Specialty Care Providers
Cardiovascular Disease
ENCINITAS
Toosie, Katayoun MD
Cardiovascular Disease
Gender: Female
NPI: 1568471092
License: A60211
License Type: Specialist
351 Santa Fe Dr Ste 220
Encinitas, CA 92024
(760) 634-2411
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Katayoun
Toosie Md
Board Certified: No
Physician's Language(s):
Spanish, French
LA JOLLA
Adler, Eric D MD
Cardiovascular Disease
Gender: Male
NPI: 1477699601
License: A116525
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Aizin, Vitali MD
Cardiovascular Disease
Gender: Male
NPI: 1366545733
License: A82761
License Type: Specialist
9834 Genesee Ave Ste 101
La Jolla, CA 92037
(858) 430-8455
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Integrative
Cardiovascular Center Of La
Jolla, Vitali Aizin Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Portugese
Ang, Lawrence W MD
Cardiovascular Disease
Gender: Male
NPI: 1851529879
License: A115926
License Type: Specialist
9434 Medical Center Dr 1st Fl
7411
La Jolla, CA 92037
(858) 657-8530
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Berman, Brett J MD
Meyer, David B MD
Cardiovascular Disease
Gender: Male
NPI: 1457446684
License: A78854
License Type: Specialist
9834 Genesee Ave Ste 101
La Jolla, CA 92037
(858) 430-8455
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Brett J
Berman Md A Professional
Corporation, Integrative
Cardiovascular Center Of La
Jolla, Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Higgins, Steven L MD
Cardiovascular Disease
Gender: Male
NPI: 1881796134
License: G53772
License Type: Specialist
9850 Genesee Ave Ste 940
La Jolla, CA 92037
(858) 658-0088
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): Cardiac
Arrhythmia Associates
Board Certified: Yes
Hoffmayer, Kurt S MD
Cardiovascular Disease
Gender: Male
NPI: 1841322195
License: A98256
License Type: Specialist
9434 Medical Center Dr
La Jolla, CA 92037
(858) 657-8530
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mahmud, Ehtisham MD
Cardiovascular Disease
Gender: Male
NPI: 1730112335
License: G75925
License Type: Specialist
9434 Medical Center Dr
La Jolla, CA 92037
(858) 657-8530
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Urdu
Cardiovascular Disease
Gender: Male
NPI: 1073626560
License: G57537
License Type: Specialist
9850 Genesee Ave Ste 940
La Jolla, CA 92037
(858) 658-0020
Affiliated Group(s): Cardiac
Arrhythmia Associates
Board Certified: Yes
Narayan, Sanjiv MD
Cardiovascular Disease
Gender: Male
NPI: 1649215492
License: A56441
License Type: Specialist
9350 Campus Point Dr Ste 1d
La Jolla, CA 92037
(858) 657-8530
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Narezkina, Anna MD
Cardiovascular Disease
Gender: Female
NPI: 1891958773
License: A113210
License Type: Specialist
9434 Medical Center Dr 1st
Floor
La Jolla, CA 92037
(619) 543-6980
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Russian
Tsimikas, Sotirios MD
Cardiovascular Disease
Gender: Male
NPI: 1629124417
License: G73170
License Type: Specialist
9350 Campus Point Dr Ste 1d
La Jolla, CA 92037
(858) 657-8530
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Greek
Cardiovascular Disease
LA MESA
Boghairi, Anoushiravan MD
Cardiovascular Disease
Gender: Male
NPI: 1255549184
License: A33832
License Type: Specialist
5565 Grossmont Center Dr
Bldg 1 Ste 115
La Mesa, CA 91942
(619) 698-6667
Affiliated Group(s):
Anoushiravan Boghairi Md
Board Certified: No
Physician's Language(s):
Spanish
Goldberg, Ronald K MD
Cardiovascular Disease
Gender: Male
NPI: 1235125337
License: G65437
License Type: Specialist
5565 Grossmont Center Dr
Bldg 3 Ste 455
La Mesa, CA 91942
(619) 462-9353
Affiliated Group(s): La Mesa
Cardiac Center A Medical
Group
Board Certified: No
Michalski, Michael H MD
Cardiovascular Disease
Gender: Male
NPI: 1104884790
License: G86189
License Type: Specialist
8851 Center Dr Ste 610
La Mesa, CA 91942
(619) 667-7072
Affiliated Group(s): Michael H
Michalski Md A Medical Corp
Board Certified: No
Reddy, Reddiwandla S MD
Cardiovascular Disease
Gender: Female
NPI: 1710996384
License: A38098
License Type: Specialist
8881 Fletcher Pkwy Ste 240
La Mesa, CA 91942
(619) 461-6130
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s):
Reddiwandla Seenu Reddy Md
Inc, Vantage Medical Group
Board Certified: Yes
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
70
Specialty Care Providers
Cardiovascular Disease
Sherev, Dimitri A MD
Cardiovascular Disease
Gender: Male
NPI: 1154323996
License: A70917
License Type: Specialist
8851 Center Dr Ste 304
La Mesa, CA 91942
(619) 867-0557
Affiliated Group(s): Sherev
Heart And Vascular Clinic
Board Certified: No
NATIONAL CITY
Camacho, Benjamin O MD
Cardiovascular Disease
Gender: Male
NPI: 1699759936
License: A52660
License Type: Specialist
1615 Sweetwater Rd
National City, CA 91950
(619) 474-2233
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Benjamin
O Camacho Md Facp A
Medical Corp
Board Certified: No
Sharf, Albert J MD
Cardiovascular Disease
Gender: Male
NPI: 1649349820
License: G72122
License Type: Specialist
655 Euclid Ave Ste 304-306
National City, CA 91950
(619) 470-7700
Affiliated Group(s): Albert J
Sharf Md Inc, Vantage Medical
Group
Board Certified: No
OCEANSIDE
Toosie, Katayoun MD
Cardiovascular Disease
Gender: Female
NPI: 1568471092
License: A60211
License Type: Specialist
3601 Vista Way Ste 203
Oceanside, CA 92056
(760) 724-5352
Affiliated Group(s): Katayoun
Toosie Md
Board Certified: No
Physician's Language(s):
Spanish, French
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Castellanos, Luis R MD
SAN DIEGO
Cardiovascular Disease
Bahadorani, John N MD
Gender:
Male
Cardiovascular Disease
NPI: 1013059286
Gender: Male
License: A89654
NPI: 1780883082
License Type: Specialist
License: A123767
4168 Front St
License Type: Specialist
San Diego, CA 92103
200 West Arbor Dr
(619) 543-5743
San Diego, CA 92103
Mon-Fri 9:00am-5:00pm
(619) 471-0701
Affiliated Hospital(s): Ucsd
Affiliated Group(s): Ucsd
Medical Center
Medical Group
Affiliated Group(s): Ucsd
Board Certified: No
Medical Group
Physician's Language(s):
Board Certified: No
Spanish
Chung,
Kiyon MD
Barnard, Denise D MD
Cardiovascular Disease
Gender: Female
NPI: 1669497731
License: G65241
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-5743
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Birgersdotter Green, Ulrika M
MD
Cardiovascular Disease
Gender: Female
NPI: 1851349757
License: A49525
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French, German, Swedish
Blanchard, Daniel G MD
Cardiovascular Disease
Gender: Male
NPI: 1487684155
License: G59868
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cardiovascular Disease
Gender: Female
NPI: 1972517910
License: C54514
License Type: Specialist
4060 4th Ave Ste 650
San Diego, CA 92103
(619) 819-7222
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Korean
Cotter, Bruno R MD
Cardiovascular Disease
Gender: Male
NPI: 1205886389
License: A67069
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French, German
Demaria, Anthony N MD
Cardiovascular Disease
Gender: Male
NPI: 1124043948
License: G20471
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cardiovascular Disease
Feld, Gregory K MD
Cardiovascular Disease
Gender: Male
NPI: 1720003924
License: G37258
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-5743
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Friedman, Richard G MD
Cardiovascular Disease
Gender: Male
NPI: 1881789196
License: G32430
License Type: Specialist
4060 4th Ave Ste 650
San Diego, CA 92103
(619) 297-1810
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Richard G
Friedman Md
Board Certified: Yes
Glassman, Jerrold MD
Cardiovascular Disease
NPI: 1245326883
License: G34309
License Type: Specialist
4060 4th Ave Ste 650
San Diego, CA 92103
(619) 819-7222
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Jerrod
Glassman Md A.m.c
Board Certified: No
Greenberg, Barry MD
Cardiovascular Disease
Gender: Male
NPI: 1093773137
License: G29316
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
71
Specialty Care Providers
Cardiovascular Disease
Gross, Steven A MD
Cardiovascular Disease
Gender: Male
NPI: 1790838134
License: G25708
License Type: Specialist
4060 4th Ave Ste 605
San Diego, CA 92103
(619) 688-9333
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Southern
California Cardiology Medical
Group Inc
Board Certified: Yes
Gross, Steven A MD
Cardiovascular Disease
Gender: Male
NPI: 1790838134
License: G25708
License Type: Specialist
6386 Alvarado Ct Ste 101
San Diego, CA 92120
(619) 265-1237
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Southern
California Cardiology Medical
Group Inc
Board Certified: Yes
Kafri, Hassan MD
Cardiovascular Disease
Gender: Male
NPI: 1730258401
License: A96002
License Type: Specialist
6402 El Cajon Blvd Ste 100
San Diego, CA 92115
(619) 582-4490
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Hassan
Kafri Md Inc
Board Certified: No
Physician's Language(s):
Spanish, Arabic, Russian
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mahan, Gregory B MD
Pitt, William A MD
Cardiovascular Disease
Gender: Male
NPI: 1891776571
License: G42703
License Type: Specialist
3131 Berger Ave Ste 200
San Diego, CA 92123
(858) 244-6800
Mon-Fri 12:00 am-12:00 am
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Healthcare Dba Sharp
Coronado Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Borrego
Community Health Foundation
Board Certified: Yes
Mehta, Hirsch MD
Cardiovascular Disease
Gender: Male
NPI: 1407099799
License: A105910
License Type: Specialist
3131 Berger Ave Ste 200
San Diego, CA 92123
(858) 244-6800
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s): San Diego
Cardiac Center Medical Group
Inc
Board Certified: No
Moussavian, Mehran DO
Cardiovascular Disease
Gender: Male
NPI: 1689788234
License: 20A7241
License Type: Specialist
292 Euclid Ave Ste 210
San Diego, CA 92114
(619) 616-2100
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s):
Cardiovascular Institute Of San
Diego
Board Certified: Yes
Patel, Mitul P MD
Cardiovascular Disease
Gender: Male
NPI: 1457572448
License: A95406
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(858) 657-8035
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cardiovascular Disease
Gender: Male
NPI: 1861544850
License: A23081
License Type: Specialist
6359 Alvarado Ct Ste 101
San Diego, CA 92120
(619) 265-1237
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Southern
California Cardiology Medical
Group Inc
Board Certified: No
Pitt, William A MD
Cardiovascular Disease
Gender: Male
NPI: 1861544850
License: A23081
License Type: Specialist
6386 Alvarado Ct Ste 101
San Diego, CA 92120
(619) 265-1237
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Southern
California Cardiology Medical
Group Inc
Board Certified: No
Printz, Beth F MD
Cardiovascular Disease
Gender: Female
NPI: 1790756518
License: G88440
License Type: Specialist
7910 Frost St Ste 100
San Diego, CA 92123
(858) 634-5900
Affiliated Group(s): San Diego
Imaging Kearny Mesa, San
Diego Imaging Chula Vista,
San Diego Imaging Medical
Grpp
Board Certified: No
Accessibility: Limited, P, E
Raisinghani, Ajit B MD
Cardiovascular Disease
Gender: Male
NPI: 1831292796
License: G75914
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-5743
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Hindi,
Farsi
Cardiovascular Disease
Raissi Shabari, Farshad MD
Cardiovascular Disease
Gender: Male
NPI: 1124295027
License: A99160
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-5743
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Sclar, Craig M MD
Cardiovascular Disease
Gender: Male
NPI: 1730114497
License: A36023
License Type: Specialist
7830 Clairemont Mesa Blvd
San Diego, CA 92111
(858) 268-1111
Affiliated Group(s): Craig M
Sclar Md
Board Certified: Yes
Sharf, Albert J MD
Cardiovascular Disease
Gender: Male
NPI: 1649349820
License: G72122
License Type: Specialist
6280 Jackson Dr
San Diego, CA 92119
(619) 464-1607
Affiliated Group(s): Albert J
Sharf Md Inc, Vantage Medical
Group
Board Certified: No
Sherev, Dimitri A MD
Cardiovascular Disease
Gender: Male
NPI: 1154323996
License: A70917
License Type: Specialist
6402 El Cajon Blvd Ste 100
San Diego, CA 92115
(619) 582-4490
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Sherev
Heart And Vascular Clinic
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
72
Specialty Care Providers
Chiropractor
SAN MARCOS
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
CHULA VISTA
Chavira, Alberto MD
Lovern, Jennifer K DC
Gender: Male
NPI: 1508865759
License: G50302
License Type: Specialist
334 Via Vera Cruz Ste 257
San Marcos, CA 92078
(760) 510-1808
Affiliated Group(s): Alberto
Chavira Md A Medical Corp
Board Certified: Yes
Gender: Female
NPI: 1235469396
License: DC29074
License Type: Specialist
678 Third Ave
Chula Vista, CA 91910
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Plante, Charles F DC
Cardiovascular Disease
VISTA
Matthews, Oscar A MD
Cardiovascular Disease
Gender: Male
NPI: 1053300673
License: A24880
License Type: Specialist
2095 W Vista Way Ste 107
Vista, CA 92083
(760) 941-4005
Mon-Fri 9:00am-4:30pm
Affiliated Group(s): Cambrian
Cardiology Med Grp Dba
Oscar A Matthews Md Facc
Board Certified: Yes
Physician's Language(s):
Spanish, Italian
CHIROPRACTOR
BORREGO SPRINGS
Dillman, Craig DC
Chiropractor
Gender: Male
NPI: 1104845122
License: DC14004
License Type: Specialist
4343 Yaqui Pass Rd
Borrego Springs, CA 92004
(760) 767-5051
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
CAMPO
Daneshbod, Bahareh DC
Chiropractor
Gender: Female
NPI: 1114474509
License Type: Specialist
31115 Hwy 94
Campo, CA 91906
(619) 478-5311
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
ENCINITAS
Miller, Christopher J DC
Chiropractor
Chiropractor
Gender: Male
NPI: 1730103938
License: DC11989
License Type: Specialist
1465 Encinitas Blvd
Encinitas, CA 92024
(760) 753-6808
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Christopher J Miller Dc
Board Certified: No
Chiropractor
Gender: Male
NPI: 1760464960
License: DC31963
License Type: Specialist
678 3rd Ave
Chula Vista, CA 91910
(619) 662-4100
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Bui, Mai DC
EL CAJON
Ilchena, Alesandra N DC
Chiropractor
Gender: Female
NPI: 1871046664
License: DC32800
License Type: Specialist
855 E Madison Ave
El Cajon, CA 92020
(619) 440-2751
Mon 8:00am-5:00pm, Tue
8:00am-8:00pm, Wed-Fri
8:00am-5:00pm, Sat 9:00
am-3:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Ragazzo, Lauren R DC
Chiropractor
Gender: Female
NPI: 1205245859
License: DC32774
License Type: Specialist
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Neighborhood Healthcare
Board Certified: No
SAN DIEGO
Chiropractor
Gender: Female
NPI: 1780901264
License: DC12459
License Type: Specialist
4616 El Cajon Blvd Ste 7
San Diego, CA 92115
(619) 692-3211
Mon-Fri 9:00am-5:00pm, Sat
9:00am-12:00pm
Affiliated Group(s): Mb Spine
Center
Board Certified: No
Physician's Language(s):
Vietnamese
Farahanchi, Ali DC
Chiropractor
Gender: Male
NPI: 1659473734
License: DC25862
License Type: Specialist
2883 Meade Ave
San Diego, CA 92116
(619) 298-2342
Mon-Tue 8:00 am-5:00 pm,
Wed 8:00 am-12:00 pm, ThuFri 8:00 am-5:00 pm, Sat 8:00
am-12:00 pm
Affiliated Group(s): Health
Vibes
Board Certified: No
Farrell, Paul DC
Chiropractor
Gender: Male
NPI: 1740203926
License: DC17360
License Type: Specialist
949 Balboa Ave Ste 105
San Diego, CA 92123
(858) 569-4545
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Paul Farrell
Dba Bird Rock Chiropractic
Board Certified: No
Chiropractor
Hoang, Jayson H DC
Chiropractor
Gender: Male
NPI: 1639188188
License: DC27446
License Type: Specialist
4629 El Cajon Blvd
San Diego, CA 92115
(619) 285-1236
Affiliated Group(s): Jayson
Hung Hoang Dc
Board Certified: No
Ragazzo, Lauren R DC
Chiropractor
Gender: Female
NPI: 1205245859
License: DC32774
License Type: Specialist
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Neighborhood Healthcare
Board Certified: No
Rojas, Richard J DC
Chiropractor
Gender: Male
NPI: 1538318811
License: DC31024
License Type: Specialist
4094 4th Ave
San Diego, CA 92103
(619) 515-2545
Mon-Thu 8:00am-9:00pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Rosenberg, Erik M DC
Chiropractor
Gender: Male
NPI: 1295758068
License: DC27952
License Type: Specialist
7612 Linda Vista Rd Ste 109
San Diego, CA 92111
(858) 279-2121
Affiliated Group(s): San Diego
Sports & Spine
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
73
Specialty Care Providers
Clinical Cardiac
Electrophysiology
SAN YSIDRO
Giliberto, Joseph DC
Chiropractor
Gender: Male
NPI: 1821463159
License: DC15775
License Type: Specialist
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
SANTEE
Daneshbod, Bahareh DC
Chiropractor
Gender: Female
NPI: 1114474509
License Type: Specialist
120 Town Center Pkwy
Santee, CA 92071
(619) 445-6200
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Tuthill, Alan R DC
Chiropractor
Gender: Male
NPI: 1942206552
License: DC16916
License Type: Specialist
10201 Mission Gorge Rd Ste L
Santee, CA 92071
(619) 449-8100
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Family
Care Chiropractic
Board Certified: No
VISTA
Cortez, Jaime DC
Chiropractor
Gender: Male
NPI: 1508195348
License: DC31392
License Type: Specialist
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vista
Community Clinic
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
CLINICAL CARDIAC
CLINICAL GENETICS
ELECTROPHYSIOLOGY
LA JOLLA
CHULA VISTA
Salz, Lisa MD
Pugh, Matthew D DO
Clinical Cardiac
Electrophysiology
Gender: Male
NPI: 1306077870
License: 20A12102
License Type: Specialist
754 Medical Center Crt Ste 206
Chula Vista, CA 91911
(619) 482-4333
Affiliated Group(s): Matthew
Douglas Pugh Do
Board Certified: No
Physician's Language(s):
Spanish
LA MESA
Hassankhani, Alborz MD
Clinical Cardiac
Electrophysiology
Gender: Male
NPI: 1013022615
License: A71799
License Type: Specialist
5525 Grossmont Center Dr Ste
609
La Mesa, CA 91942
(619) 668-0044
Mon-Fri 9:00 am-4:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Pacific
Arrhythmia Service Inc
Board Certified: No
Physician's Language(s): Farsi
NATIONAL CITY
Ungab, Gilanthony D MD
Clinical Cardiac
Electrophysiology
Gender: Male
NPI: 1528176641
License: A65734
License Type: Specialist
502 Euclid Ave Ste 304
National City, CA 91950
(619) 475-8630
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Gilanthony
D Ungab, Ungab Medical
Corporation
Board Certified: No
Clinical Genetics
Gender: Female
NPI: 1164867339
License: GC000209
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SAN DIEGO
Kelsey, Rolfe R MA
Clinical Genetics
Gender: Female
NPI: 1225319312
License: GC000162
License Type: Specialist
4910 Directors Pl Ste 200
San Diego, CA 92121
(858) 657-7200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Thurn Valsassina, Deborah I
MA
Clinical Genetics
Gender: Female
NPI: 1598079071
License Type: Specialist
4910 Directors Pl Ste 200
San Diego, CA 92121
(858) 657-7200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
COLON & RECTAL
SURGERY
LA JOLLA
Eisenstein, Samuel G MD
Colon & Rectal Surgery
Gender: Male
NPI: 1194983932
License: A132251
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-7237
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Dentist
CRITICAL CARE
MEDICINE
SAN DIEGO
De Silva, Errajith B MD
Critical Care Medicine
Gender: Male
NPI: 1083712236
License: A46400
License Type: Specialist
4520 Executive Dr Ste Plaza 2
San Diego, CA 92121
(858) 355-5864
Affiliated Group(s): Inpatient
Specialists Of Ca Pc
Board Certified: No
DENTIST
ESCONDIDO
Norton, Jon DDS
Dentist
Gender: Male
NPI: 1346347010
License: 38342
License Type: Specialist
425 N Date St
Escondido, CA 92025
(760) 520-8340
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Park, Renee Y DDS
Dentist
Gender: Female
NPI: 1073526794
License: 54005
License Type: Specialist
425 N Date St
Escondido, CA 92025
(760) 520-8340
Mon-Fri 8:00am-5:00pm
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Physician's Language(s):
Korean
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
74
Specialty Care Providers
Dermatology
SAN DIEGO
Nguyen, Kim DMD
Dentist
Gender: Female
NPI: 1013143429
License: 58278
License Type: Specialist
2602 1st Ave Ste 105
San Diego, CA 92103
(619) 234-2158
Affiliated Group(s): San Diego
American Indian Health Center
Board Certified: No
Physician's Language(s):
Spanish, French, Laotian,
Vietnamese
Richardson, Chelsea DMD
Dentist
Gender: Female
NPI: 1548418619
License: 57514
License Type: Specialist
2602 1st Ave Ste 105
San Diego, CA 92103
(619) 234-2158
Affiliated Group(s): San Diego
American Indian Health Center
Board Certified: No
DERMATOLOGY
BORREGO SPRINGS
Greenway, Hubert MD
Dermatology
Gender: Male
NPI: 1366419004
License: C39104
License Type: Specialist
4343 Yaqui Pass Rd
Borrego Springs, CA 92004
(760) 767-5051
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: Yes
Zelac, Daniel E MD
Dermatology
Gender: Male
NPI: 1891709903
License: G85319
License Type: Specialist
4343 Yaqui Pass Rd
Borrego Springs, CA 92004
(760) 767-5051
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Samady, Joseph A MD
EL CAJON
Dermatology
Resh, William F MD
Gender: Male
Dermatology
NPI: 1013954908
Gender: Male
License: A71411
NPI: 1154309862
License Type: Specialist
License: C34661
1309 S Mission Rd Ste A
License Type: Specialist
Fallbrook, CA 92028
1625 E Main St Ste 103
(760) 728-7546
El Cajon, CA 92021
Affiliated Group(s):
(619) 579-5115
Dermatology Specialist Inc,
Affiliated Group(s): Vantage
Vantage Medical Group
Medical Group
Board Certified: No
Board Certified: Yes
Speelman,
Patricia MD
Resh, William F MD
Dermatology
Gender: Male
NPI: 1154309862
License: C34661
License Type: Specialist
292 Avocado Ave
El Cajon, CA 92020
(619) 579-5115
Mon-Thu 8:30am-4:30pm, Fri
9:00am-4:00pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
FALLBROOK
Kurlan, Julia G MD
Dermatology
Gender: Female
NPI: 1285671024
License: C51819
License Type: Specialist
1309 S Mission Rd Ste A
Fallbrook, CA 92028
(760) 728-7546
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc
Board Certified: No
Physician's Language(s):
Russian
Ross, Andrew L MD
Dermatology
Gender: Male
NPI: 1700140738
License: A140430
License Type: Specialist
1309 S Mission Rd Ste A
Fallbrook, CA 92028
(760) 728-7546
Affiliated Group(s):
Dermatology Specialist Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Dermatology
Gender: Female
NPI: 1982641726
License: A39411
License Type: Specialist
1309 S Mission Rd Ste A
Fallbrook, CA 92028
(760) 728-7546
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc
Board Certified: Yes
Speelman, Patricia MD
Dermatology
Gender: Female
NPI: 1982641726
License: A39411
License Type: Specialist
593 E Elder St Ste B
Fallbrook, CA 92028
(760) 728-7546
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc
Board Certified: Yes
LA JOLLA
Brouha, Brook L MD
Dermatology
Gender: Female
NPI: 1114173937
License: A97902
License Type: Specialist
7300 Girard Ave Ste 104
La Jolla, CA 92037
(858) 750-2983
Affiliated Group(s): Compass
Dermatopathology Inc Dba
Boughton Dermatology
Board Certified: Yes
Dermatology
Calame, Antoanella MD
Dermatology
Gender: Female
NPI: 1285817569
License: A84455
License Type: Specialist
7300 Girard Ave Ste 104
La Jolla, CA 92037
(858) 750-2983
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Hamman, Michael S MD
Dermatology
Gender: Male
NPI: 1538346911
License: A97551
License Type: Specialist
7300 Girard Ave Ste 104
La Jolla, CA 92037
(858) 750-2983
Affiliated Group(s): Compass
Dermatopathology Inc Dba
Boughton Dermatology
Board Certified: No
Rush Lerner, Michael R MD
Dermatology
Gender: Male
NPI: 1538314141
License: G86296
License Type: Specialist
9350 Campus Point Dr 2a
8201a
La Jolla, CA 92037
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Scalise, Tamara K MD
Dermatology
Gender: Female
NPI: 1336110816
License: A110059
License Type: Specialist
7300 Girard Ave Ste 202
La Jolla, CA 92037
(858) 454-7123
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Compass
Dermatopathology Inc Dba
Boughton Dermatology
Board Certified: No
Physician's Language(s):
German
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
75
Specialty Care Providers
Dermatology
OCEANSIDE
Gilboa, Ruth MD
Dermatology
Gender: Female
NPI: 1205873197
License: A46557
License Type: Specialist
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc,
Dermatology Specialist Inc (ie)
Board Certified: No
Accessibility: Limited, P, E
Kurlan, Julia G MD
Dermatology
Gender: Female
NPI: 1285671024
License: C51819
License Type: Specialist
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc
Board Certified: No
Physician's Language(s):
Russian
Accessibility: Limited, P, E
Ross, Andrew L MD
Dermatology
Gender: Male
NPI: 1700140738
License: A140430
License Type: Specialist
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Dermatology Specialist Inc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Samady, Joseph A MD
Wong, Darryl MD
Dermatology
Gender: Male
NPI: 1013954908
License: A71411
License Type: Specialist
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Dermatology Specialist Inc,
Vantage Medical Group
Board Certified: No
Accessibility: Limited, P, E
Speelman, Patricia MD
Dermatology
Gender: Female
NPI: 1982641726
License: A39411
License Type: Specialist
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc
Board Certified: Yes
Accessibility: Limited, P, E
Thiele, Jens MD
Dermatology
Gender: Male
NPI: 1659562650
License: A103862
License Type: Specialist
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s):
Dermatology Specialist Inc
Board Certified: Yes
Physician's Language(s):
Spanish, German
Accessibility: Limited, P, E
Dermatology
Gender: Male
NPI: 1952342693
License: G70557
License Type: Specialist
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
POWAY
Blake, Patrick W MD
Dermatology
Gender: Male
NPI: 1871817312
License: A130951
License Type: Specialist
15725 Pomerado Rd Ste 102
Poway, CA 92064
(858) 397-5755
Affiliated Group(s): Compass
Dermatopathology Inc Dba
Boughton Dermatology,
Vantage Medical Group
Board Certified: No
Brouha, Brook L MD
Dermatology
Gender: Female
NPI: 1114173937
License: A97902
License Type: Specialist
15725 Pomerado Rd Ste 102
Poway, CA 92064
(858) 397-5755
Affiliated Group(s): Compass
Dermatopathology Inc Dba
Boughton Dermatology
Board Certified: Yes
Calame, Antoanella MD
Dermatology
Gender: Female
NPI: 1285817569
License: A84455
License Type: Specialist
15725 Pomerado Rd Ste 102
Poway, CA 92064
(858) 397-5755
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Dermatology
Hamman, Michael S MD
Dermatology
Gender: Male
NPI: 1538346911
License: A97551
License Type: Specialist
15725 Pomerado Rd Ste 102
Poway, CA 92064
(858) 397-5755
Affiliated Group(s): Compass
Dermatopathology Inc Dba
Boughton Dermatology
Board Certified: No
Henninger, Camille A MD
Dermatology
Gender: Female
NPI: 1447221304
License: A115660
License Type: Specialist
15725 Pomerado Rd Ste 102
Poway, CA 92064
(858) 397-5755
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
SAN DIEGO
Cohen, Philip R MD
Dermatology
Gender: Male
NPI: 1366565467
License: G89274
License Type: Specialist
8899 University Center Ln Ste
350
San Diego, CA 92122
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Dorschner, Robert MD
Dermatology
Gender: Male
NPI: 1306103924
License: A128567
License Type: Specialist
8899 University Center Ln Ste
320
San Diego, CA 92122
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
76
Specialty Care Providers
Dermatology
Doru Stein, Alexander MD
Dermatology
Gender: Male
NPI: 1760431654
License: A106295
License Type: Specialist
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 464-1608
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Alexander
Doru Stein, Center For Family
Health, Chaparral Medical
Group Inc
Board Certified: No
Physician's Language(s):
Romanian
Accessibility: Basic, IB, P, W, R,
E, EB
Gilbertson, Erik O MD
Dermatology
Gender: Male
NPI: 1326158767
License: G78193
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 670-5400
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ginsberg, Robert A MD
Dermatology
Gender: Male
NPI: 1285618728
License: G38779
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 265-2152
Mon-Fri 8:00 am-4:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hau, Jennifer T MD
Dermatology
Gender: Female
NPI: 1740535707
License: A130568
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6248
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Hinds, Brian R MD
Paravar, Taraneh MD
Dermatology
Gender: Male
NPI: 1386969608
License: A130130
License Type: Specialist
8899 University Center Ln Ste
320
San Diego, CA 92122
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kassab, Ghada K MD
Dermatology
Gender: Female
NPI: 1023278504
License: A114457
License Type: Specialist
3023 Bunker Hill St Ste 102
San Diego, CA 92109
(858) 273-2726
Affiliated Group(s): Ghada
Kassab Md
Board Certified: No
Physician's Language(s): Arabic
Nahm, Walter K MD
Dermatology
Gender: Male
NPI: 1467447284
License: A78569
License Type: Specialist
7695 Cardinal Ct Ste 200
San Diego, CA 92123
(858) 278-8835
Affiliated Group(s): Walter K
Nahm Md Phd Inc
Board Certified: No
Accessibility: Limited, P, E
Orme, Charisse M MD
Dermatology
Gender: Male
NPI: 1861767097
License: A141036
License Type: Specialist
8899 University Center Ln Ste
320
San Diego, CA 92122
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dermatology
Gender: Female
NPI: 1356640528
License: A116105
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6248
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Farsi
Rush Lerner, Michael R MD
Dermatology
Gender: Male
NPI: 1538314141
License: G86296
License Type: Specialist
4168 Front St 8201a
San Diego, CA 92103
(619) 543-6248
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Schneider, Jeremy A MD
Dermatology
Gender: Male
NPI: 1265762520
License: A124232
License Type: Specialist
8899 University Ln Ste 350
San Diego, CA 92122
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Shaw, Daniel MD
Dermatology
Gender: Male
NPI: 1578515441
License: G59947
License Type: Specialist
4168 Front St
San Diego, CA 92103
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dermatology
Simzar, Soheil MD
Dermatology
Gender: Male
NPI: 1780881797
License: A97769
License Type: Specialist
4060 4th Ave Ste 415
San Diego, CA 92103
(619) 298-9809
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Sun, Bryan MD
Dermatology
Gender: Male
NPI: 1275787673
License: A109152
License Type: Specialist
8899 University Center Ln Ste
320
San Diego, CA 92122
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Synkowski, Daniel MD
Dermatology
Gender: Male
NPI: 1598710972
License: G82133
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6725
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tom, Wynnis L MD
Dermatology
Gender: Male
NPI: 1922215045
License: A99290
License Type: Specialist
4168 Front St
San Diego, CA 92103
(858) 966-6795
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
77
Specialty Care Providers
San Diego County
Dietitian, Registered
Yu, Benjamin MD
Dermatology
NPI: 1831103084
License: A80119
License Type: Specialist
8899 University Center Ln Ste
350
San Diego, CA 92122
(858) 657-8322
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SOLANA BEACH
Gilboa, Ruth MD
Dermatology
Gender: Female
NPI: 1205873197
License: A46557
License Type: Specialist
530 Lomas Santa Fe Dr Ste D
Solana Beach, CA 92075
(858) 259-2256
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s):
Dermatology Specialist Inc,
Dermatology Specialist Inc (ie)
Board Certified: No
VISTA
Gerstenfeld, Eric S MD
Dermatology
Gender: Male
NPI: 1114979754
License: G70325
License Type: Specialist
2067 W Vista Way Ste 155
Vista, CA 92083
(760) 630-9042
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Inland
Valley Retina Medical Group
Inc, Pacific Dermatology
Institute Inc, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish
Guide, Shireen V MD
Dermatology
Gender: Male
NPI: 1033287180
License: A95744
License Type: Specialist
2067 W Vista Way Ste 155
Vista, CA 92083
(760) 630-9042
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
DIETITIAN,
REGISTERED
ALPINE
Larm, Annalisa RD
Dietitian, Registered
Gender: Female
NPI: 1134372485
License: RD883598
License Type: Specialist
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Accessibility: Limited, IB, P, W,
R, E
CAMPO
Larm, Annalisa RD
Dietitian, Registered
Gender: Female
NPI: 1134372485
License: RD883598
License Type: Specialist
36350 Church Rd
Campo, CA 91906
(619) 478-2225
Mon 8:00 am-4:30 pm, Wed-Fri
8:00 am-4:30 pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
ENCINITAS
Smith, Suzanne J RD
Dietitian, Registered
Gender: Female
NPI: 1174977870
License Type: Specialist
1200 Garden View Rd Ste 100
Encinitas, CA 92024
(619) 471-0420
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA JOLLA
Rubio, Gloria P RD
Dietitian, Registered
Gender: Female
NPI: 1578013595
License: 987557
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6252
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SAN DIEGO
Fisher, Jennifer J RD
Dietitian, Registered
Gender: Female
NPI: 1538312657
License: RD962434
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Musser, Elena RD
Dietitian, Registered
Gender: Female
NPI: 1790056539
License: RD1056803
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Richard, Byron C RD
Dietitian, Registered
Gender: Male
NPI: 1114316353
License: RD727755
License Type: Specialist
330 Lewis St
San Diego, CA 92103
(619) 543-7496
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Smith, Suzanne J RD
Dietitian, Registered
Gender: Female
NPI: 1174977870
License Type: Specialist
4520 Executive Dr Ste Plaza 1
San Diego, CA 92121
(619) 471-0420
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Endocrinology, Diabetes &
Metabolism
ENDOCRINOLOGY,
DIABETES &
METABOLISM
LA JOLLA
Boles, Sarah G MD
Endocrinology, Diabetes &
Metabolism
Gender: Female
NPI: 1245391242
License: A82562
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Chi, Nai-wen MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1710945621
License: A56485
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Juang, Patricia S MD
Endocrinology, Diabetes &
Metabolism
Gender: Female
NPI: 1265695795
License: A110217
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
78
Specialty Care Providers
Endocrinology, Diabetes &
Metabolism
SAN DIEGO
Chi, Nai-wen MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1710945621
License: A56485
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Choe, Charles H MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1891733846
License: A77451
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Field, Seth J MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1053595694
License: G87427
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
First, Brian P MD
Juang, Patricia S MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1770531816
License: A33952
License Type: Specialist
4282 Genesee Ave Ste 103
San Diego, CA 92117
(858) 292-0108
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women, Sharp Memorial
Hospital
Affiliated Group(s): Ritchken &
First Md
Board Certified: Yes
Guerin, Chris MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1275648875
License: G47081
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hupfeld, Christopher J MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1568429165
License: A64102
License Type: Specialist
4168 Front St
San Diego, CA 92103
(760) 529-0277
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Endocrinology, Diabetes &
Metabolism
Gender: Female
NPI: 1265695795
License: A110217
License Type: Specialist
4168 Front St
San Diego, CA 92103
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Levine, Matthew MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1801994231
License: A77126
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 231-9300
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Mccallum, James D MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1609838994
License: A55708
License Type: Specialist
4168 Front St
San Diego, CA 92103
(858) 554-7876
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Oh, Deborah K MD
Endocrinology, Diabetes &
Metabolism
Gender: Female
NPI: 1346467800
License: A83445
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Endocrinology, Diabetes &
Metabolism
Philis-tsimikas, Athena MD
Endocrinology, Diabetes &
Metabolism
Gender: Female
NPI: 1922105964
License: A50477
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 575-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s): Greek
Sandler, Jeffrey A MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1740270313
License: G23440
License Type: Specialist
4060 4th Ave Ste 205
San Diego, CA 92103
(619) 497-6188
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Ucsd Medical
Center
Affiliated Group(s): Jeffrey A
Sandler Md Inc, Ucsd Medical
Group
Board Certified: Yes
Santos Cavaiola, Tricia MD
Endocrinology, Diabetes &
Metabolism
Gender: Female
NPI: 1518163799
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 515-2300
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Speckart, Paul F MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1447346192
License: C31776
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
79
Specialty Care Providers
San Diego County
Gastroenterology
Witztum, Joseph L MD
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Desta, Taddesse T MD
Schaeffer, Cynthia L MD
GASTROENTEROLOGY
CHULA VISTA
Gender: Male
NPI: 1346326246
License: A49164
License Type: Specialist
750 Medical Center Ct Ste 12
Chula Vista, CA 91911
(619) 266-3332
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: Yes
Physician's Language(s): Arabic
Desta, Taddesse T MD
Endocrinology, Diabetes &
Metabolism
Gender: Male
NPI: 1699791491
License: G29598
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Alayo, Erick H MD
Gastroenterology
Gender: Male
NPI: 1841454758
License: A107506
License Type: Specialist
353 Church Ave
Chula Vista, CA 91910
(619) 585-8883
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Desta, Taddesse T MD
Gastroenterology
Gender: Male
NPI: 1346326246
License: A49164
License Type: Specialist
401 H St Ste 5
Chula Vista, CA 91910
(619) 266-3332
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: Yes
Physician's Language(s): Arabic
Gastroenterology
Gastroenterology
Gender: Male
NPI: 1346326246
License: A49164
License Type: Specialist
754 Medical Center Ct Ste 101
Chula Vista, CA 91911
(619) 266-3332
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: Yes
Physician's Language(s): Arabic
Johnson, Mark Y MD
Gastroenterology
Gender: Male
NPI: 1861421372
License: G28163
License Type: Specialist
480 4th Ave Ste 506
Chula Vista, CA 91910
(619) 585-0313
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Mark Y
Johnson Md
Board Certified: Yes
Reshamwala, Preeti A MD
Gastroenterology
Gender: Female
NPI: 1578604583
License: A116653
License Type: Specialist
256 Landis Ave Ste 204
Chula Vista, CA 91910
(619) 427-0665
Mon-Wed 9:00 am-4:00 pm, Fri
9:00 am-4:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Gastroenterology
Gender: Female
NPI: 1740352293
License: A91771
License Type: Specialist
1040 Tierra Del Rey Ste 107
Chula Vista, CA 91910
(619) 216-8500
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Schaeffer, Cynthia L MD
Gastroenterology
Gender: Female
NPI: 1740352293
License: A91771
License Type: Specialist
752 Medical Center Ct Ste 210
Chula Vista, CA 91911
(619) 656-0206
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Accessibility: Limited, IB, P
Schaeffer, Cynthia L MD
Gastroenterology
Gender: Female
NPI: 1740352293
License: A91771
License Type: Specialist
754 Medical Center Ct Ste 101
Chula Vista, CA 91911
(619) 266-3332
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Thomas, Carlton W MD
Gastroenterology
Gender: Male
NPI: 1205881398
License: A88112
License Type: Specialist
754 Medical Center Ct Ste 101
Chula Vista, CA 91911
(619) 266-3332
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Physician's Language(s):
Spanish
Gastroenterology
Wiener, Gregory MD
Gastroenterology
Gender: Male
NPI: 1811099534
License: A41749
License Type: Specialist
353 Church Ave
Chula Vista, CA 91910
(619) 585-8883
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
CORONADO
Lajin, Mahmoud MD
Gastroenterology
Gender: Male
NPI: 1467411702
License: C53475
License Type: Specialist
230 Prospect Pl Ste 220
Coronado, CA 92118
(619) 522-0399
Affiliated Group(s): Mahmoud
Lajin Md Inc, Southern
California Liver Centers Inc
Board Certified: No
Physician's Language(s): Arabic
Reshamwala, Preeti A MD
Gastroenterology
Gender: Female
NPI: 1578604583
License: A116653
License Type: Specialist
230 Prospect Pl Ste 220
Coronado, CA 92118
(619) 286-9480
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
EL CAJON
Reddy, Ananthram P MD
Gastroenterology
Gender: Male
NPI: 1124014923
License: C52423
License Type: Specialist
1625 E Main St Ste 204
El Cajon, CA 92021
(619) 588-4074
Mon-Thu 8:30 am-5:30 pm, Fri
8:30 am-4:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Sumana
And Ananthram Reddy Md Inc
Board Certified: Yes
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
80
Specialty Care Providers
Gastroenterology
Reddy, Joseph MD
Gastroenterology
Gender: Male
NPI: 1245215391
License: A46472
License Type: Specialist
1625 E Main St Ste 204
El Cajon, CA 92021
(619) 229-1005
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Advanced
Endoscopy Consultants Inc,
Vantage Medical Group
Board Certified: Yes
ENCINITAS
Dilauro, Steven MD
Gastroenterology
Gender: Male
NPI: 1629117643
License: A104332
License Type: Specialist
700 Garden View Ct Ste 102
Encinitas, CA 92024
(760) 783-0441
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Goldklang, Robert H MD
Gastroenterology
Gender: Male
NPI: 1275527657
License: G69237
License Type: Specialist
700 Garden View Ct Ste 102
Encinitas, CA 92024
(760) 783-0441
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Lajoie, Adrianne M MD
Gastroenterology
Gender: Female
NPI: 1225253651
License: A84301
License Type: Specialist
700 Garden View Ct Ste 102
Encinitas, CA 92024
(760) 783-0441
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Crowe, Sheila E MD
ESCONDIDO
Gastroenterology
Singh, Pritam MD
Gender:
Female
Gastroenterology
NPI: 1730222142
Gender: Male
License: C54800
NPI: 1285653543
License Type: Specialist
License: A32134
9300 Campus Point Dr
License Type: Specialist
La Jolla, CA 92037
735 E Ohio Ave Ste 204
(619) 471-9186
Escondido, CA 92025
Affiliated Hospital(s): Ucsd
(760) 743-1033
Medical Center
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Ucsd
Affiliated Group(s): Pritam
Medical Group
Singh Md, Vantage Medical
Board Certified: No
Group
Board Certified: Yes
Dever, John B MD
FALLBROOK
Kao, James C MD
Gastroenterology
Gender: Male
NPI: 1760645121
License: A113337
License Type: Specialist
521 E Elder St Ste 104
Fallbrook, CA 92028
(951) 566-5229
Affiliated Group(s): Hpn Affiliated Doctors Of Orange
County
Board Certified: No
LA JOLLA
Anand, Gobind MD
Gastroenterology
Gender: Male
NPI: 1861626814
License: A120739
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Chang, Michael A MD
Gastroenterology
Gender: Male
NPI: 1114155488
License: A114639
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-5257
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gastroenterology
Gender: Male
NPI: 1093918724
License: A114858
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Park, Sunhee MD
Gastroenterology
Gastroenterology
Ciraku, Iliriana MD
Gastroenterology
NPI: 1912967969
License: A87226
License Type: Specialist
655 Euclid Ave Ste 408
National City, CA 91950
(619) 470-4232
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
OCEANSIDE
Shad, Javaid A MD
Gastroenterology
Gender: Male
NPI: 1003885922
License: G86962
License Type: Specialist
3923 Waring Rd Ste A
Oceanside, CA 92056
(760) 724-8787
Affiliated Group(s): North
County Gastroenterology
Board Certified: Yes
Viernes, Matthew E MD
Gastroenterology
Gender: Male
NPI: 1730158650
License: A61516
License Type: Specialist
3923 Waring Rd Ste A
Oceanside, CA 92056
(760) 724-8787
Affiliated Group(s): North
County Gastroenterology
Board Certified: No
Gender: Female
NPI: 1225305915
License: A118835
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Singh, Siddharth MD
Anand, Gobind MD
Gender: Male
NPI: 1508023227
License: G136230
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gender: Male
NPI: 1861626814
License: A120739
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gastroenterology
NATIONAL CITY
Ciraku, Iliriana MD
Gastroenterology
NPI: 1912967969
License: A87226
License Type: Specialist
2400 E Fourth St
National City, CA 91950
(858) 513-1833
Affiliated Group(s): Paradise
Valley Med Grp
Board Certified: No
SAN DIEGO
Gastroenterology
Chang, John T MD
Gastroenterology
Gender: Male
NPI: 1265594527
License: A110350
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
81
Specialty Care Providers
Gastroenterology
Copur, Nedret MD
Gastroenterology
Gender: Female
NPI: 1932290145
License: A99701
License Type: Specialist
200 W Arbor Dr 2nd Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Turkish
Desta, Taddesse T MD
Gastroenterology
Gender: Male
NPI: 1346326246
License: A49164
License Type: Specialist
1855 1st Ave Ste 200b
San Diego, CA 92101
(619) 266-3332
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: Yes
Physician's Language(s): Arabic
Desta, Taddesse T MD
Gastroenterology
Gender: Male
NPI: 1346326246
License: A49164
License Type: Specialist
292 Euclid Ave Ste 115
San Diego, CA 92114
(619) 266-3332
Thu 1:00 pm-3:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: Yes
Physician's Language(s): Arabic
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Desta, Taddesse T MD
Kuo, Alexander MD
Gastroenterology
Mittal, Ravinder K MD
Gender: Male
NPI: 1346326246
License: A49164
License Type: Specialist
9625 Black Mountain Rd Ste
308
San Diego, CA 92126
(619) 266-0332
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: Yes
Physician's Language(s): Arabic
Ho, Samuel B MD
Gender: Male
NPI: 1376567255
License: C50204
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nguyen, Tuan T MD
Gastroenterology
Gastroenterology
Gender: Male
NPI: 1194777144
License: G57012
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 543-5415
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Kalmaz, Denise MD
Gastroenterology
Gender: Female
NPI: 1275700973
License: A87262
License Type: Specialist
200 W Arbor Dr 2nd Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kunkel, David C MD
Gastroenterology
Gender: Male
NPI: 1902056245
License: A111550
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Gastroenterology
Gender: Male
NPI: 1912032764
License: A86787
License Type: Specialist
200 West Arbor Dr Second
Floor
San Diego, CA 92103
(619) 543-2347
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kwong, Wilson T MD
Gastroenterology
Gender: Male
NPI: 1134389653
License: A114763
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mello, Michael D MD
Gastroenterology
Gender: Male
NPI: 1356571566
License: A135756
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Armenian
Mendler, Michel MD
Gastroenterology
Gender: Male
NPI: 1134232051
License: A78316
License Type: Specialist
200 W Arbor Dr 2nd Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
Gastroenterology
Gastroenterology
Gender: Male
NPI: 1730270380
License: G68761
License Type: Specialist
4141 Fairmount Ave Ste 201
San Diego, CA 92105
(858) 278-9393
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Tuan
Nguyen Md Inc
Board Certified: No
Physician's Language(s):
Vietnamese
Accessibility: Limited, IB, P
Park, Frederick MD
Gastroenterology
Gender: Male
NPI: 1013113208
License: A106773
License Type: Specialist
200 W Arbor Dr 2nd Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Park, Sunhee MD
Gastroenterology
Gender: Female
NPI: 1225305915
License: A118835
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
82
Specialty Care Providers
Geriatric Medicine
Patel, Derek R MD
Gastroenterology
Gender: Male
NPI: 1073538385
License: A69111
License Type: Specialist
200 W Arbor Dr 2nd Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Reddy, Ananthram P MD
Gastroenterology
Gender: Male
NPI: 1124014923
License: C52423
License Type: Specialist
6699 Alvarado Rd Ste 2301
San Diego, CA 92120
(619) 229-1005
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Sumana
And Ananthram Reddy Md Inc
Board Certified: Yes
Reddy, Joseph MD
Gastroenterology
Gender: Male
NPI: 1245215391
License: A46472
License Type: Specialist
6699 Alvarado Rd Ste 2301
San Diego, CA 92120
(619) 229-1005
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Advanced
Endoscopy Consultants Inc,
Vantage Medical Group
Board Certified: Yes
Ritchken, Simon MD
Gastroenterology
Gender: Male
NPI: 1255399341
License: A34151
License Type: Specialist
4282 Genesee Ave Ste 103
San Diego, CA 92117
(858) 292-0108
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Ritchken &
First Md
Board Certified: Yes
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Schaeffer, Cynthia L MD
Thomas, Carlton W MD
Gastroenterology
Gender: Female
NPI: 1740352293
License: A91771
License Type: Specialist
1855 1st Ave Ste 200b
San Diego, CA 92101
(619) 266-3332
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Schaeffer, Cynthia L MD
Gastroenterology
Gender: Female
NPI: 1740352293
License: A91771
License Type: Specialist
292 Euclid Ave Ste 115
San Diego, CA 92114
(619) 266-3332
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Schnabl, Bernd MD
Gastroenterology
Gender: Male
NPI: 1770748733
License: A101921
License Type: Specialist
200 W Arbor Dr 2nd Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Shpaner, Alexander MD
Gastroenterology
Gender: Male
NPI: 1538334974
License: A86958
License Type: Specialist
6719 Alvarado Rd Ste 206
San Diego, CA 92120
(619) 287-9100
Affiliated Group(s): Donald C
Lipkis Md Inc
Board Certified: No
Physician's Language(s):
Russian
Gastroenterology
Gender: Male
NPI: 1205881398
License: A88112
License Type: Specialist
1855 1st Ave Ste 200b
San Diego, CA 92101
(619) 266-3332
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Physician's Language(s):
Spanish
Thomas, Carlton W MD
Gastroenterology
Gender: Male
NPI: 1205881398
License: A88112
License Type: Specialist
292 Euclid Ave Ste 115
San Diego, CA 92114
(619) 266-3332
Affiliated Group(s): Digestive
Disease Associates Inc
Board Certified: No
Physician's Language(s):
Spanish
Vodkin, Irine MD
Gastroenterology
Gender: Female
NPI: 1861762619
License: A113664
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 543-5415
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SANTEE
Reddy, Joseph MD
Gastroenterology
Gender: Male
NPI: 1245215391
License: A46472
License Type: Specialist
9456 Cuyamaca St Ste 102
Santee, CA 92071
(619) 299-1005
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Advanced
Endoscopy Consultants Inc,
Vantage Medical Group
Board Certified: Yes
Geriatric Medicine
GERIATRIC MEDICINE
CHULA VISTA
Gonzalez, Veronica MD
Geriatric Medicine
Gender: Female
NPI: 1083905715
License: A124749
License Type: Specialist
1637 3rd Ave
Chula Vista, CA 91911
(619) 662-4100
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
ESCONDIDO
Panzer, Glenn MD
Geriatric Medicine
Gender: Male
NPI: 1154351088
License: G86525
License Type: Specialist
1001 E Grand Ave
Escondido, CA 92025
(760) 520-8200
Mon-Fri 8:00am-5:00 pm
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Physician's Language(s):
Spanish
LA JOLLA
Gonzalez, Veronica MD
Geriatric Medicine
Gender: Female
NPI: 1083905715
License: A124749
License Type: Specialist
9350 Campus Point Dr Ste 2b
La Jolla, CA 92037
(858) 657-8440
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Gupta, Roopali MD
Geriatric Medicine
Gender: Female
NPI: 1265641930
License: A122370
License Type: Specialist
9350 Campus Point Dr Ste 2b
La Jolla, CA 92037
(858) 657-8440
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
83
Specialty Care Providers
Gynecology
Neel, Ian C MD
Geriatric Medicine
Gender: Male
NPI: 1639433550
License: A128583
License Type: Specialist
9350 Campus Point Dr Ste 2b
La Jolla, CA 92037
(858) 657-8440
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nguyen, Khai H MD
Geriatric Medicine
Gender: Male
NPI: 1104067230
License: A102172
License Type: Specialist
9350 Campus Point Dr Ste 2b
La Jolla, CA 92037
(858) 657-8440
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Vietnamese
Rao, Seema S MD
Geriatric Medicine
Gender: Female
NPI: 1275714495
License: C132855
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8440
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Hindi
SAN DIEGO
Menkin, Elizabeth S MD
Geriatric Medicine
Gender: Female
NPI: 1639241383
License: G48270
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
GYNECOLOGY
LA JOLLA
Plaxe, Steven C MD
Gynecology
Gender: Male
NPI: 1942356795
License: G64817
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SAN DIEGO
Moran, Thomas P MD
Gynecology
Gender: Male
NPI: 1093887069
License: G59541
License Type: Specialist
1075 Camino Del Rio S Ste 200
San Diego, CA 92108
(619) 683-7526
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Moran, Thomas P MD
Gynecology
Gender: Male
NPI: 1093887069
License: G59541
License Type: Specialist
2017 1st Ave Ste 100
San Diego, CA 92108
(619) 881-4578
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
SAN MARCOS
Kung, George Y MD
Gynecology
Gender: Male
NPI: 1134272891
License: G40829
License Type: Specialist
120 Craven Rd Ste 209
San Marcos, CA 92078
(760) 761-4088
Affiliated Group(s): North
County Womens Medical
Clinic Inc
Board Certified: Yes
HEMATOLOGY
CHULA VISTA
Iturbe Alessio, Ignacio MD
Hematology
Gender: Male
NPI: 1972513695
License: A42415
License Type: Specialist
480 4th Ave Ste 409
Chula Vista, CA 91910
(619) 425-2080
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Kousay A
Al Kourainy Md
Board Certified: Yes
Physician's Language(s):
Spanish
LA JOLLA
Mulroney, Carolyn M MD
Hematology
Gender: Female
NPI: 1215124664
License: A48368
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hematology & Oncology
HEMATOLOGY &
ONCOLOGY
CHULA VISTA
Song, Seung-yil T MD
Hematology & Oncology
Gender: Male
NPI: 1578677860
License: A25278
License Type: Specialist
750 Medical Center Ct Ste 9
Chula Vista, CA 91911
(619) 421-6922
Tue 10:00 am-4:00 pm, Thu
10:00 am-4:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Healthcare Dba Sharp
Coronado Hospital, Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Sy Thomas
Song Md
Board Certified: Yes
Physician's Language(s):
Spanish, Korean
Accessibility: Limited, IB, P
ENCINITAS
Adler, Mark MD
Hematology & Oncology
Gender: Male
NPI: 1174552533
License: G58922
License Type: Specialist
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Bemiller, Lynn MD
Hematology & Oncology
Gender: Female
NPI: 1184632523
License: A45335
License Type: Specialist
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Group(s): Uc San
Diego Cancer Center, Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
84
Specialty Care Providers
Hematology & Oncology
Helton, Derek A MD
Hematology & Oncology
Gender: Male
NPI: 1801992839
License: A76208
License Type: Specialist
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center, Vantage
Medical Group
Board Certified: No
Siddiqui, Fareeha MD
Hematology & Oncology
Gender: Female
NPI: 1104848720
License: A108879
License Type: Specialist
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
Physician's Language(s):
Spanish
Subramanian, Rupa MD
Hematology & Oncology
Gender: Female
NPI: 1376547174
License: A67026
License Type: Specialist
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
Vicario, Daniel MD
Hematology & Oncology
Gender: Male
NPI: 1912933326
License: A43512
License Type: Specialist
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Hospital(s): Tri City
Medical Center, Ucsd Medical
Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: Yes
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Bejar, Rafael MD
LA JOLLA
Hematology & Oncology
Adamson, John W MD
Gender:
Male
Hematology & Oncology
NPI: 1720051493
Gender: Male
License: A121394
NPI: 1477504801
License Type: Specialist
License: A20742
3855 Health Sciences Dr
License Type: Specialist
La Jolla, CA 92093
3855 Health Sciences Dr
(858) 822-6100
La Jolla, CA 92093
Affiliated Hospital(s): Ucsd
(858) 822-6135
Medical Center
Affiliated Hospital(s): Ucsd
Affiliated Group(s): Ucsd
Medical Center
Medical Group
Affiliated Group(s): Ucsd
Board Certified: No
Medical Group
Board Certified: No
Bemiller, Lynn MD
Hematology & Oncology
Ball, Edward D MD
Gender:
Female
Hematology & Oncology
NPI: 1184632523
Gender: Male
License: A45335
NPI: 1093740110
License Type: Specialist
License: G84752
3855 Health Sciences Dr
License Type: Specialist
La Jolla, CA 92093
3855 Health Sciences Dr
(858) 822-6189
La Jolla, CA 92093
Affiliated Group(s): Uc San
(619) 543-3000
Diego Cancer Center, Ucsd
Affiliated Hospital(s): Ucsd
Medical Group
Medical Center
Board Certified: No
Affiliated Group(s): Ucsd
Medical Group
Castro, Januario E MD
Board Certified: No
Hematology & Oncology
Gender: Male
Ball, Edward D MD
NPI: 1871642538
Hematology & Oncology
License: A72129
Gender: Male
License Type: Specialist
NPI: 1093740110
3855 Health Sciences Dr
License: G84752
La Jolla, CA 92093
License Type: Specialist
(858) 657-8570
9300 Campus Point Dr
Affiliated Hospital(s): Ucsd
La Jolla, CA 92037
Medical Center
(858) 822-6600
Affiliated Group(s): Ucsd
Affiliated Hospital(s): Ucsd
Medical Group
Medical Center
Board Certified: No
Affiliated Group(s): Ucsd
Physician's
Language(s):
Medical Group
Spanish
Board Certified: No
Castro, Januario E MD
Bazhenova, Lyudmila A MD
Hematology & Oncology
Gender: Female
NPI: 1093791006
License: A76755
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Russian
Hematology & Oncology
Gender: Male
NPI: 1871642538
License: A72129
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Hematology & Oncology
Choi, Michael Y MD
Hematology & Oncology
Gender: Male
NPI: 1912181173
License: A100104
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cohen, Ezra E MD
Hematology & Oncology
Gender: Male
NPI: 1518029065
License: C132549
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Costello, Caitlin MD
Hematology & Oncology
Gender: Female
NPI: 1760649230
License: A108322
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Curtin, Peter T MD
Hematology & Oncology
Gender: Male
NPI: 1316953862
License: G48635
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
85
Specialty Care Providers
Hematology & Oncology
Daniels, Gregory A MD
Hematology & Oncology
Gender: Male
NPI: 1164480943
License: A92515
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fanta, Paul T MD
Hematology & Oncology
Gender: Male
NPI: 1467661496
License: A81637
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6135
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Galanina, Natalie MD
Hematology & Oncology
Gender: Female
NPI: 1235372855
License: A121363
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-3804
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Russian
Gold, Kathryn A MD
Hematology & Oncology
Gender: Female
NPI: 1306909791
License: C139391
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-5182
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Heestand, Gregory MD
Kato, Shumei MD
Hematology & Oncology
Gender: Male
NPI: 1770568867
License: A92666
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Howell, Stephen B MD
Hematology & Oncology
Gender: Male
NPI: 1114942802
License: G25869
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Husain, Hatim MD
Hematology & Oncology
Gender: Male
NPI: 1629234109
License: A99267
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Urdu
Jamieson, Catriona MD
Hematology & Oncology
Gender: Female
NPI: 1841223617
License: A67419
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6276
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French
Hematology & Oncology
Gender: Male
NPI: 1609025865
License: A111322
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-3115
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Japanese
Kaufman, Dan S MD
Hematology & Oncology
Gender: Male
NPI: 1801985726
License: G142658
License Type: Specialist
3855 Health Sciences Dr 960
La Jolla, CA 92093
(858) 822-6600
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Kipps, Thomas J MD
Hematology & Oncology
Gender: Male
NPI: 1306861950
License: G43229
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-5400
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
German
Koura, Divya MD
Hematology & Oncology
Gender: Female
NPI: 1053471318
License: A125774
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Hindi
Hematology & Oncology
Ku, Grace MD
Hematology & Oncology
Gender: Female
NPI: 1538145719
License: A92382
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6842
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lippman, Scott M MD
Hematology & Oncology
Gender: Male
NPI: 1780780874
License: A37790
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Millard, Frederick E MD
Hematology & Oncology
Gender: Male
NPI: 1922056373
License: G52424
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mitchell, William M MD
Hematology & Oncology
Gender: Male
NPI: 1669634663
License: A92024
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
86
Specialty Care Providers
Hematology & Oncology
Patel, Hitendra MD
Hematology & Oncology
Gender: Male
NPI: 1356327316
License: C144440
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-3115
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Patel, Sandip P MD
Hematology & Oncology
Gender: Male
NPI: 1245481381
License: A110132
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Patel, Sandip P MD
Hematology & Oncology
Gender: Male
NPI: 1245481381
License: A110132
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Reid, Erin G MD
Hematology & Oncology
Gender: Female
NPI: 1902852767
License: A73308
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Reid, Tony R MD
Shattil, Sanford J MD
Hematology & Oncology
Gender: Male
NPI: 1346323904
License: G76747
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Roesch, Erin E MD
Hematology & Oncology
Gender: Female
NPI: 1336464262
License: A144286
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-5090
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Sacco, Assuntina MD
Hematology & Oncology
Gender: Female
NPI: 1871757831
License: A132120
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Schwab, Richard B MD
Hematology & Oncology
Gender: Male
NPI: 1710900345
License: A76913
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hematology & Oncology
Gender: Male
NPI: 1679530844
License: G22082
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(888) 309-8273
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Shieh, Marie P MD
Hematology & Oncology
Gender: Female
NPI: 1245475474
License: A101732
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
Tanaka, Tiffany N MD
Hematology & Oncology
Gender: Female
NPI: 1407159726
License: A119740
License Type: Specialist
3855 Health Sciences Dr Ste
0695
La Jolla, CA 92093
(858) 822-6276
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tzachanis, Dimitrios MD
Hematology & Oncology
Gender: Male
NPI: 1528026002
License: C55514
License Type: Specialist
3855 Health Sciences Dr 960
La Jolla, CA 92093
(858) 822-6600
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hematology & Oncology
Wieduwilt, Matthew J MD
Hematology & Oncology
Gender: Male
NPI: 1124227483
License: A99612
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
OCEANSIDE
Siddique, Nayyar MD
Hematology & Oncology
Gender: Male
NPI: 1497890610
License: A62744
License Type: Specialist
3617 Vista Way
Oceanside, CA 92056
(760) 940-2525
Affiliated Group(s): North
County Oncology Medical Inc
Board Certified: No
SAN DIEGO
Drygalski, Annette V MD
Hematology & Oncology
Gender: Female
NPI: 1376607036
License: A100681
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Helsten, Teresa L MD
Hematology & Oncology
Gender: Female
NPI: 1265408678
License: A71996
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
87
Specialty Care Providers
Hepatology
Mckay, Rana R MD
Hematology & Oncology
Gender: Female
NPI: 1306013610
License: A145444
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Song, Seung-yil T MD
Hematology & Oncology
Gender: Male
NPI: 1578677860
License: A25278
License Type: Specialist
7930 Frost St Ste 405
San Diego, CA 92123
(858) 571-2811
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Healthcare Dba Sharp
Coronado Hospital, Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Sy Thomas
Song Md
Board Certified: Yes
Physician's Language(s):
Spanish, Korean
VISTA
Adler, Mark MD
Hematology & Oncology
Gender: Male
NPI: 1174552533
License: G58922
License Type: Specialist
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 598-1700
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Accessibility: Limited, P, R, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Helton, Derek A MD
Vicario, Daniel MD
Hematology & Oncology
Gender: Male
NPI: 1801992839
License: A76208
License Type: Specialist
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 598-1700
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center, Vantage
Medical Group
Board Certified: No
Accessibility: Limited, P, R, E
Siddiqui, Fareeha MD
Hematology & Oncology
Gender: Female
NPI: 1104848720
License: A108879
License Type: Specialist
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 598-1700
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, R, E
Subramanian, Rupa MD
Hematology & Oncology
Gender: Female
NPI: 1376547174
License: A67026
License Type: Specialist
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 598-1700
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
Accessibility: Limited, P, R, E
Hematology & Oncology
Gender: Male
NPI: 1912933326
License: A43512
License Type: Specialist
910 Sycamore Ave Ste 102
Vista, CA 92081
(760) 598-1700
Affiliated Hospital(s): Tri City
Medical Center, Ucsd Medical
Center
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: Yes
Accessibility: Limited, P, R, E
HEPATOLOGY
SAN DIEGO
Kono, Yuko MD
Hepatology
Gender: Female
NPI: 1982628665
License: A111039
License Type: Specialist
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Japanese
Infectious Disease
Roeland, Eric J MD
Hospice And Palliative
Medicine
Gender: Male
NPI: 1194909630
License: A98796
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
INFECTIOUS DISEASE
ESCONDIDO
Aldous, Jeannette L MD
Infectious Disease
Gender: Female
NPI: 1073650339
License: A101017
License Type: Specialist
1001 E Grand Ave
Escondido, CA 92025
(760) 520-8200
Mon-Fri 8:00am-5:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Neighborhood
Healthcare, Ucsd Medical
Group, Vantage Medical Group
Board Certified: No
HOSPICE AND
LA JOLLA
PALLIATIVE MEDICINE Benson, Constance MD
Infectious Disease
SAN DIEGO
Bhalla Regev, Sandhya K MD
Hospice And Palliative
Medicine
Gender: Female
NPI: 1376581967
License: A96187
License Type: Specialist
6155 Cornerstone Ct E Ste 220
San Diego, CA 92121
(858) 458-2992
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s):
Neighborhood Healthcare
Board Certified: No
Gender: Female
NPI: 1871541664
License: G87372
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
88
Specialty Care Providers
Infectious Disease
Browne, Sara MD
Infectious Disease
Gender: Female
NPI: 1275571176
License: A51877
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Guiney, Donald MD
Infectious Disease
Gender: Male
NPI: 1255477071
License: G31555
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kumaraswamy, Monika MD
Infectious Disease
Gender: Female
NPI: 1891938106
License: A120345
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 534-4848
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Looney, David MD
Infectious Disease
Gender: Male
NPI: 1912955048
License: G67588
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Savoia, Maria MD
Aldous, Jeannette L MD
Infectious Disease
Gender: Female
NPI: 1710903075
License: G36729
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 534-4848
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Smith, David M MD
Infectious Disease
Gender: Male
NPI: 1609891761
License: A63610
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 534-4848
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Taplitz, Randy A MD
Infectious Disease
Gender: Female
NPI: 1013925551
License: G67522
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
SAN DIEGO
Abeles, Shira MD
Infectious Disease
Gender: Female
NPI: 1720240625
License: A103260
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Infectious Disease
Gender: Female
NPI: 1073650339
License: A101017
License Type: Specialist
286 Euclid Ave Ste 308
San Diego, CA 92114
(619) 662-4100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Neighborhood
Healthcare, Ucsd Medical
Group, Vantage Medical Group
Board Certified: No
Aldous, Jeannette L MD
Infectious Disease
Gender: Female
NPI: 1073650339
License: A101017
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Neighborhood
Healthcare, Ucsd Medical
Group, Vantage Medical Group
Board Certified: No
Aronoff Spencer, Eliah MD
Infectious Disease
Gender: Male
NPI: 1770737579
License: A104748
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Aslam, Saima MD
Infectious Disease
Gender: Female
NPI: 1477565257
License: A112604
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(713) 444-2930
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Infectious Disease
Blanchard, Jennifer N MD
Infectious Disease
Gender: Male
NPI: 1972545077
License: A65285
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3995
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Blumenthal, Jill S MD
Infectious Disease
Gender: Female
NPI: 1336308378
License: A117338
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(619) 543-6146
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Browne, Sara MD
Infectious Disease
Gender: Female
NPI: 1275571176
License: A51877
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Caperna, Joseph C MD
Infectious Disease
Gender: Male
NPI: 1720141153
License: A49951
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6146
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital, Ucsd
Medical Center
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
89
Specialty Care Providers
Infectious Disease
Caperna, Joseph C MD
Infectious Disease
Gender: Male
NPI: 1720141153
License: A49951
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital, Ucsd
Medical Center
Affiliated Group(s): San Ysidro
Health Center, Ucsd Medical
Group
Board Certified: No
Dan, Jennifer M MD
Infectious Disease
Gender: Female
NPI: 1225343601
License: A119193
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(619) 543-6146
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lewinski, Mary K MD
Infectious Disease
Gender: Female
NPI: 1659535094
License: A109633
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Ucsd Medical Group
Board Certified: No
Lewinski, Mary K MD
Infectious Disease
Gender: Female
NPI: 1659535094
License: A109633
License Type: Specialist
823 Gateway Center Way
San Diego, CA 92102
(858) 565-2150
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Ucsd Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Little, Susan J MD
Park, Daniel MD
Infectious Disease
Gender: Female
NPI: 1033134572
License: G70574
License Type: Specialist
4168 Front St 3rd Fl
San Diego, CA 92103
(619) 543-3995
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Logan, Cathy MD
Infectious Disease
Gender: Female
NPI: 1467664169
License: A108361
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mayer, Richard A MD
Infectious Disease
Gender: Male
NPI: 1689773640
License: A79246
License Type: Specialist
6699 Alvarado Rd Ste 2308
San Diego, CA 92120
(619) 462-9010
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Richard A
Mayer Md Inc
Board Certified: No
Physician's Language(s):
Spanish
Mehta, Sanjay R MD
Infectious Disease
Gender: Male
NPI: 1437150299
License: A89714
License Type: Specialist
4168 Front St 3rd Fl
San Diego, CA 92103
(619) 543-3995
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Infectious Disease
Gender: Male
NPI: 1538371844
License: A99433
License Type: Specialist
286 Euclid Ave Ste 308
San Diego, CA 92114
(619) 527-7330
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
Pride, David T MD
Infectious Disease
Gender: Male
NPI: 1194875526
License: A91401
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ritter, Michele L MD
Infectious Disease
Gender: Female
NPI: 1225262975
License: A112536
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(619) 543-6146
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Schooley, Robert T MD
Infectious Disease
Gender: Male
NPI: 1346298502
License: C51865
License Type: Specialist
4168 Front St 3rd Fl
San Diego, CA 92103
(619) 543-3995
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Infectious Disease
Taplitz, Randy A MD
Infectious Disease
Gender: Female
NPI: 1013925551
License: G67522
License Type: Specialist
4168 Front St 3rd Fl Rm 1
San Diego, CA 92103
(858) 822-6260
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Vinetz, Joseph M MD
Infectious Disease
Gender: Male
NPI: 1306804513
License: G86854
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6146
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Wagner, Gabriel A MD
Infectious Disease
Gender: Male
NPI: 1992962245
License: A108967
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc, Ucsd Medical Group
Board Certified: No
SAN YSIDRO
Park, Daniel MD
Infectious Disease
Gender: Male
NPI: 1538371844
License: A99433
License Type: Specialist
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00 am-7:30 pm, Sat
8:30 am-2:00 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
90
Specialty Care Providers
Interventional Cardiology
INTERVENTIONAL
CARDIOLOGY
LA MESA
Naghi, Jesse J MD
Interventional Cardiology
Gender: Male
NPI: 1386896736
License: A110094
License Type: Specialist
8851 Center Dr Ste 304
La Mesa, CA 91942
(619) 867-0557
Affiliated Group(s): Sherev
Heart And Vascular Clinic
Board Certified: No
SAN DIEGO
Gollapudi, Raghava MD
Interventional Cardiology
Gender: Male
NPI: 1467429191
License: A73392
License Type: Specialist
3131 Berger Ave Ste 200
San Diego, CA 92123
(858) 244-6800
Mon-Fri 12:00 am-12:00 am
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group
Inc, San Diego Cardiac Center
Medical Group Inc, Zavaro
Cardiovascular Institute
Board Certified: No
MATERNAL & FETAL
MEDICINE
ENCINITAS
Catanzarite, Valerian MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1174694939
License: G46026
License Type: Specialist
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Group(s): North
County Health Services
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Daneshmand, Shahram Sean
Daneshmand, Shahram Sean
MD
MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1891867412
License: A63844
License Type: Specialist
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Group(s): North
County Health Services
Board Certified: No
Dowling, David MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1083785844
License: G80714
License Type: Specialist
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): North
County Health Services
Board Certified: No
Duerbeck, Norman MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1417028275
License: G47611
License Type: Specialist
1130 2nd St
Encinitas, CA 92024
(760) 943-0279
Affiliated Group(s): North
County Health Services, San
Ysidro Health Center
Board Certified: No
SAN DIEGO
Catanzarite, Valerian MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1174694939
License: G46026
License Type: Specialist
8010 Frost St Ste 300
San Diego, CA 92123
(858) 939-6880
Affiliated Group(s): North
County Health Services
Board Certified: No
Maternal & Fetal Medicine
Gender: Male
NPI: 1891867412
License: A63844
License Type: Specialist
8010 Frost St Ste 300
San Diego, CA 92123
(858) 939-6880
Affiliated Group(s): North
County Health Services
Board Certified: No
Dowling, David MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1083785844
License: G80714
License Type: Specialist
8010 Frost St Ste 300
San Diego, CA 92123
(858) 939-6880
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): North
County Health Services
Board Certified: No
Duerbeck, Norman MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1417028275
License: G47611
License Type: Specialist
8010 Frost St Ste 300
San Diego, CA 92123
(858) 939-6880
Affiliated Group(s): North
County Health Services, San
Ysidro Health Center
Board Certified: No
Fratto, Victoria M MD
Maternal & Fetal Medicine
Gender: Female
NPI: 1124318472
License: A136189
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Maternal & Fetal Medicine
Moore, Thomas MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1184682379
License: G49930
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 231-9300
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SAN MARCOS
Catanzarite, Valerian MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1174694939
License: G46026
License Type: Specialist
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Daneshmand, Shahram Sean
MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1891867412
License: A63844
License Type: Specialist
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Dowling, David MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1083785844
License: G80714
License Type: Specialist
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): North
County Health Services
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
91
Specialty Care Providers
Medical Genetics
Duerbeck, Norman MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1417028275
License: G47611
License Type: Specialist
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services, San
Ysidro Health Center
Board Certified: No
SAN YSIDRO
Catanzarite, Valerian MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1174694939
License: G46026
License Type: Specialist
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Daneshmand, Shahram Sean
MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1891867412
License: A63844
License Type: Specialist
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Daneshmand, Shahram Sean
MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1891867412
License: A63844
License Type: Specialist
4050 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Affiliated Group(s): North
County Health Services
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Duerbeck, Norman MD
Vaux, Keith K MD
Maternal & Fetal Medicine
Gender: Male
NPI: 1417028275
License: G47611
License Type: Specialist
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): North
County Health Services, San
Ysidro Health Center
Board Certified: No
MEDICAL GENETICS
LA JOLLA
Jones, Marilyn MD
Medical Genetics
Gender: Female
NPI: 1295806040
License: G30850
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Jones, Marilyn MD
Medical Genetics
Gender: Female
NPI: 1295806040
License: G30850
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SAN DIEGO
Barshop, Bruce MD
Medical Genetics
Gender: Male
NPI: 1477624237
License: G58157
License Type: Specialist
212 Dickinson St Ctfb213 0830
San Diego, CA 92103
(619) 543-5260
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Medical Genetics
Gender: Male
NPI: 1740238104
License: A87297
License Type: Specialist
3020 Childrens Way Hospital
Based
San Diego, CA 92123
(858) 966-8800
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
NEPHROLOGY
CHULA VISTA
Bedoya, Luis A MD
Nephrology
Gender: Male
NPI: 1922119445
License: A51105
License Type: Specialist
227 Church Ave
Chula Vista, CA 91910
(619) 426-9690
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Bedoya, Luis A MD
Nephrology
Gender: Male
NPI: 1922119445
License: A51105
License Type: Specialist
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Belo, Diogo S MD
Nephrology
Gender: Male
NPI: 1326043027
License: C41850
License Type: Specialist
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
Belo, Diogo S MD
Nephrology
Nephrology
Gender: Male
NPI: 1326043027
License: C41850
License Type: Specialist
480 4th Ave Ste 509
Chula Vista, CA 91910
(619) 427-1144
Mon-Fri 12:00 am-10:00 am
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
Fernandez, Rodrigo J MD
Nephrology
Gender: Male
NPI: 1366539793
License: A44441
License Type: Specialist
480 4th Ave Ste 516
Chula Vista, CA 91910
(619) 476-9054
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Lozada Pastorio, Elizabeth MD
Nephrology
Gender: Female
NPI: 1730160425
License: A90108
License Type: Specialist
340 4th Ave Ste 4
Chula Vista, CA 91910
(858) 637-4700
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
Lozada Pastorio, Elizabeth MD
Nephrology
Gender: Female
NPI: 1730160425
License: A90108
License Type: Specialist
480 4th Ave Ste 509
Chula Vista, CA 91910
(619) 427-1144
Mon-Fri 12:00 am-10:00 am
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
92
Specialty Care Providers
Nephrology
Lozada Pastorio, Elizabeth MD
Nephrology
Gender: Female
NPI: 1730160425
License: A90108
License Type: Specialist
752 Medical Center Ct Ste 210
Chula Vista, CA 91911
(619) 421-9616
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, IB, P
Meyer, Jill M MD
Nephrology
Gender: Female
NPI: 1255394789
License: A95882
License Type: Specialist
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Tiefenbrun, Jonathan MD
Nephrology
Gender: Male
NPI: 1265437727
License: G85951
License Type: Specialist
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Videen, John S MD
Nephrology
Gender: Male
NPI: 1043318199
License: G59271
License Type: Specialist
752 Medical Center Ct Ste 210
Chula Vista, CA 91911
(619) 421-3361
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, IB, P
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Vyas, Dhwanil V MD
ENCINITAS
Nephrology
Steer, Dylan L MD
Gender: Male
Nephrology
NPI: 1295043388
Gender: Male
License: A125364
NPI: 1437154978
License Type: Specialist
License: A65604
752 Medical Center Ste 302
License Type: Specialist
Chula Vista, CA 91911
477 N El Camino Real Ste D306
(619) 421-3361
Encinitas, CA 92024
Affiliated Group(s): Balboa
(760) 509-1040
Nephrology Medical Group Inc Mon-Fri 12:00 am-12:00 am
Board Certified: No
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Yuan, Henry MD
Mercy Hospital, Sharp
Nephrology
Memorial Hospital
Gender: Male
Affiliated Group(s): Balboa
NPI: 1043442379
Nephrology Medical Group Inc
License: A120403
Board Certified: No
License Type: Specialist
340 4th Ave Ste 4
ESCONDIDO
Chula Vista, CA 91910
Kayal,
Anas
MD
(619) 427-1144
Nephrology
Mon-Fri 9:00am-5:00pm
Gender: Male
Affiliated Group(s): Balboa
Nephrology Medical Group Inc NPI: 1851376917
License: A112450
Board Certified: No
License Type: Specialist
CORONADO
255 N Elm St Ste 204
Escondido, CA 92025
Hammes, John S MD
(760) 735-3020
Nephrology
Affiliated Group(s): North
Gender: Male
County Vascular Center
NPI: 1891766994
Board Certified: No
License: G84351
License Type: Specialist
Neyaz, Mohammed DO
230 Prospect Pl Ste 340b
Nephrology
Coronado, CA 92118
Gender: Male
(619) 299-2350
NPI: 1245459973
Mon-Fri 9:00am-5:00pm
License: 20A13534
Affiliated Group(s): Balboa
License Type: Specialist
Nephrology Medical Group Inc 625 E Grand Ave
Board Certified: No
Escondido, CA 92025
(760) 746-1551
EL CAJON
Affiliated Group(s): Balboa
Thompson, John C MD
Nephrology
Medical Group Inc
Nephrology
Board Certified: No
Gender: Male
Physician's Language(s):
NPI: 1770663890
Spanish, Hindi, Urdu
License: G83902
License Type: Specialist
LA JOLLA
1625 E Main St Ste 201
Farrell, Melanie A MD
El Cajon, CA 92021
Nephrology
(619) 593-1212
Gender: Female
Mon-Fri 9:30 am-5:00 pm
NPI: 1144322850
Affiliated Group(s): Balboa
License: G61110
Nephrology Medical Group Inc License Type: Specialist
Board Certified: Yes
9834 Genesee Ave Ste 312
Physician's Language(s):
La Jolla, CA 92037
Spanish
(858) 558-7852
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Nephrology
Garimella, Pranav S MD
Nephrology
Gender: Male
NPI: 1477880102
License: A143549
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(619) 543-6397
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Hindi
Steer, Dylan L MD
Nephrology
Gender: Male
NPI: 1437154978
License: A65604
License Type: Specialist
9834 Genesee Ave Ste 112
La Jolla, CA 92037
(858) 558-8150
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
LA MESA
Fadda, George Z MD
Nephrology
Gender: Male
NPI: 1619972247
License: A44918
License Type: Specialist
8851 Center Dr Ste 314
La Mesa, CA 91942
(619) 461-3880
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Arabic, French
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
93
Specialty Care Providers
Nephrology
Miller, Lucy M MD
Nephrology
Gender: Female
NPI: 1467458620
License: A53843
License Type: Specialist
8851 Center Dr Ste 505
La Mesa, CA 91942
(619) 461-3880
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Thompson, John C MD
Nephrology
Gender: Male
NPI: 1770663890
License: G83902
License Type: Specialist
8851 Center Dr Ste 505
La Mesa, CA 91942
(619) 461-3880
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Physician's Language(s):
Spanish
NATIONAL CITY
Comunale, Roderick A MD
Nephrology
Gender: Male
NPI: 1568462109
License: A43885
License Type: Specialist
502 Euclid Ave Ste 205
National City, CA 91950
(858) 551-0276
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Roderick A
Comunale Ii Md Inc, Vantage
Medical Group
Board Certified: No
Davis, Jason T MD
Nephrology
Gender: Male
NPI: 1295911469
License: A100799
License Type: Specialist
655 S Euclid Ave Ste 303
National City, CA 91950
(619) 475-4900
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Accessibility: Limited, IB, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Maa Chip, Fharak MD
Kyaw, Naing T MD
Nephrology
Gender: Male
NPI: 1245518414
License: A117604
License Type: Specialist
655 S Euclid Ave Ste 303
National City, CA 91950
(619) 475-4900
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, IB, E
Sacamay, Tagumpay E MD
Nephrology
Gender: Male
NPI: 1407851041
License: A62631
License Type: Specialist
655 S Euclid Ave Ste 303
National City, CA 91950
(619) 475-4900
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Accessibility: Limited, IB, E
OCEANSIDE
Barager, Richard R MD
Nephrology
Gender: Male
NPI: 1508864448
License: G52074
License Type: Specialist
3300 Vista Way
Oceanside, CA 92056
(760) 967-9900
Affiliated Group(s): Balboa
Nephrology Medical Group
Inc, Richard R Barager Md
Board Certified: No
Physician's Language(s):
Spanish
Farrell, Melanie A MD
Nephrology
Gender: Female
NPI: 1144322850
License: G61110
License Type: Specialist
3998 Vista Way Ste 204
Oceanside, CA 92056
(619) 621-5580
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Nephrology
Gender: Male
NPI: 1689784308
License: A97469
License Type: Specialist
3300 Vista Way
Oceanside, CA 92056
(760) 967-9900
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Matayoshi, Amy H MD
Nephrology
Gender: Female
NPI: 1417921982
License: A60790
License Type: Specialist
3300 Vista Way
Oceanside, CA 92056
(760) 967-9900
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
POWAY
Boiskin, Mark M MD
Nephrology
Gender: Male
NPI: 1437154143
License: A52055
License Type: Specialist
15644 Pomerado Rd Ste 104
Poway, CA 92064
(858) 558-8150
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
SAN DIEGO
Ahmed, Kamal E MD
Nephrology
Gender: Male
NPI: 1952352411
License: C50781
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6248
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, French
Nephrology
Alexiewicz, Jadwiga MD
Nephrology
Gender: Female
NPI: 1760487458
License: A64466
License Type: Specialist
2929 Health Center Dr
San Diego, CA 92123
(858) 499-2600
Mon-Fri 12:00 am-12:00 am
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Baranski, Joel J MD
Nephrology
Gender: Male
NPI: 1548265234
License: G67559
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
Bedoya, Luis A MD
Nephrology
Gender: Male
NPI: 1922119445
License: A51105
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Behrend, Terry L MD
Nephrology
Gender: Male
NPI: 1790780484
License: A75812
License Type: Specialist
2929 Health Center Dr
San Diego, CA 92123
(858) 499-2600
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
94
Specialty Care Providers
Nephrology
Behrend, Terry L MD
Nephrology
Gender: Male
NPI: 1790780484
License: A75812
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Behrend, Terry L MD
Nephrology
Gender: Male
NPI: 1790780484
License: A75812
License Type: Specialist
6402 El Cajon Blvd Ste 100
San Diego, CA 92115
(619) 582-4490
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Behrend, Terry L MD
Nephrology
Gender: Male
NPI: 1790780484
License: A75812
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(858) 637-4800
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, P, R, E
Belo, Diogo S MD
Nephrology
Gender: Male
NPI: 1326043027
License: C41850
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Browne, Barry J MD
Do, Luan K MD
Nephrology
Gender: Male
NPI: 1972593010
License: G68117
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Browne, Barry J MD
Nephrology
Gender: Male
NPI: 1972593010
License: G68117
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(858) 637-4800
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, P, R, E
Davis, Jason T MD
Nephrology
Gender: Male
NPI: 1295911469
License: A100799
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Davis, Jason T MD
Nephrology
Gender: Male
NPI: 1295911469
License: A100799
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(858) 637-4800
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Accessibility: Limited, P, R, E
Nephrology
Gender: Male
NPI: 1538156245
License: A65161
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Vietnamese
Do, Luan K MD
Nephrology
Gender: Male
NPI: 1538156245
License: A65161
License Type: Specialist
5860 El Cajon Blvd
San Diego, CA 92115
(619) 582-2079
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Vietnamese
Fadda, George Z MD
Nephrology
Gender: Male
NPI: 1619972247
License: A44918
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Arabic, French
Hammes, John S MD
Nephrology
Gender: Male
NPI: 1891766994
License: G84351
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Nephrology
Hammes, John S MD
Nephrology
Gender: Male
NPI: 1891766994
License: G84351
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(619) 299-2350
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, P, R, E
Hammes, John S MD
Nephrology
Gender: Male
NPI: 1891766994
License: G84351
License Type: Specialist
9610 Granite Ridge Dr Ste B
San Diego, CA 92123
(858) 292-1144
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Jablecki, Charles K MD
Nephrology
Gender: Male
NPI: 1255315677
License: G33067
License Type: Specialist
4510 Executive Dr Ste 325
San Diego, CA 92121
(858) 657-8540
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Karl, Bethany E DO
Nephrology
Gender: Female
NPI: 1790980472
License: 20A10783
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
95
Specialty Care Providers
Nephrology
Kayal, Anas MD
Nephrology
Gender: Male
NPI: 1851376917
License: A112450
License Type: Specialist
6402 El Cajon Blvd Ste 100
San Diego, CA 92115
(619) 582-4490
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): North
County Vascular Center
Board Certified: No
Kayal, Anas MD
Nephrology
Gender: Male
NPI: 1851376917
License: A112450
License Type: Specialist
9610 Granite Ridge Dr Ste B
San Diego, CA 92123
(858) 292-1144
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): North
County Vascular Center
Board Certified: No
Lund, Guy L MD
Nephrology
Gender: Male
NPI: 1700859279
License: A68839
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
Lund, Guy L MD
Nephrology
Gender: Male
NPI: 1700859279
License: A68839
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(619) 299-2350
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, R, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mckay, Dianne B MD
Miracle, Cynthia M MD
Nephrology
Gender: Female
NPI: 1700857976
License: G86376
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(619) 299-2350
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Accessibility: Limited, P, R, E
Mehta, Ravindra L MD
Nephrology
Gender: Male
NPI: 1295818102
License: A48361
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Meyer, Jill M MD
Nephrology
Gender: Female
NPI: 1255394789
License: A95882
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Miller, Lucy M MD
Nephrology
Gender: Female
NPI: 1467458620
License: A53843
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Nephrology
Gender: Female
NPI: 1700976636
License: A82348
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Balboa
Nephrology Medical Group
Inc, Ucsd Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Mullaney, Scott R MD
Nephrology
Gender: Male
NPI: 1285742726
License: A65695
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Balboa
Nephrology Medical Group
Inc, Ucsd Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Namazy, David S MD
Nephrology
Gender: Male
NPI: 1477558013
License: A74630
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Namazy, David S MD
Nephrology
Gender: Male
NPI: 1477558013
License: A74630
License Type: Specialist
6402 El Cajon Blvd Ste 100
San Diego, CA 92115
(619) 582-4490
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Nephrology
Namazy, David S MD
Nephrology
Gender: Male
NPI: 1477558013
License: A74630
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(858) 637-4800
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, P, R, E
Nourbakhsh, Noureddin D DO
Nephrology
Gender: Male
NPI: 1801082003
License: 20A11746
License Type: Specialist
8001 Frost St Entrance 10
San Diego, CA 92123
(858) 966-8052
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Patel, Bijal V MD
Nephrology
Gender: Male
NPI: 1639266026
License: A74638
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Patel, Bijal V MD
Nephrology
Gender: Male
NPI: 1639266026
License: A74638
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(858) 637-4800
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, P, R, E
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
96
Specialty Care Providers
Neurological Surgery
Rubenzik, Tamara T MD
Nephrology
Gender: Female
NPI: 1811200652
License: A119245
License Type: Specialist
4168 Front St Third Floor
San Diego, CA 92103
(619) 543-6248
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sacamay, Tagumpay E MD
Nephrology
Gender: Male
NPI: 1407851041
License: A62631
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Sanchez, Amber P MD
Nephrology
Gender: Female
NPI: 1700963907
License: A91770
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5646
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Soltero, Ricardo A MD
Nephrology
Gender: Male
NPI: 1841295482
License: A68995
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Steinberg, Steven M MD
Thompson, John C MD
Nephrology
Gender: Male
NPI: 1407852783
License: G17843
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Steinberg, Steven M MD
Nephrology
Gender: Male
NPI: 1407852783
License: G17843
License Type: Specialist
7910 Frost St Ste 250
San Diego, CA 92123
(858) 637-4800
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Sweiss, Natalie MD
Nephrology
Gender: Female
NPI: 1437387933
License: A107585
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 471-0701
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Thomas, Theodore S MD
Nephrology
Gender: Male
NPI: 1669477113
License: G61681
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Nephrology
Gender: Male
NPI: 1770663890
License: G83902
License Type: Specialist
4060 4th Ave Ste 220
San Diego, CA 92103
(619) 299-2350
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Thomson, Scott C MD
Nephrology
Gender: Male
NPI: 1225052483
License: G053658
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tomasz, Beben MD
Nephrology
Gender: Male
NPI: 1689839441
License: A113430
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Trzebinska, Danuta MD
Nephrology
Gender: Female
NPI: 1629125042
License: A78916
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Polish
Neurological Surgery
NEUROLOGICAL
SURGERY
CARLSBAD
Ben-haim, Sharona MD
Neurological Surgery
Gender: Female
NPI: 1942469663
License: A124866
License Type: Specialist
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011
(619) 543-5540
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Hebrew
Jones, Pamela S MD
Neurological Surgery
Gender: Female
NPI: 1295962025
License: A143630
License Type: Specialist
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011
(619) 543-5540
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
CHULA VISTA
White, Daniel V MD
Neurological Surgery
Gender: Male
NPI: 1033214796
License: A87387
License Type: Specialist
340 4th Ave Ste 12
Chula Vista, CA 91910
(619) 476-7958
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Dr Daniel
White, Vantage Medical Group
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
97
Specialty Care Providers
Neurology
ESCONDIDO
Jeswani, Sunil P MD
Neurological Surgery
Gender: Male
NPI: 1023359494
License: A107760
License Type: Specialist
705 E Ohio Ave
Escondido, CA 92025
(760) 489-9490
Affiliated Group(s): Mark S
Stern Md A Professional Corp,
The Southern California
Institute Of Neurosurgery
Board Certified: No
Physician's Language(s):
Spanish
Stern, Mark S MD
Neurological Surgery
Gender: Male
NPI: 1649282765
License: G47596
License Type: Specialist
705 E Ohio Ave
Escondido, CA 92025
(760) 489-9490
Affiliated Group(s): Mark S
Stern Md A Professional Corp,
The Southern California
Institute Of Neurosurgery
Board Certified: Yes
LA JOLLA
Chen, Clark C MD
Neurological Surgery
Gender: Male
NPI: 1437149523
License: C54547
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(617) 632-7246
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Jones, Pamela S MD
Neurological Surgery
Gender: Female
NPI: 1295962025
License: A143630
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-5540
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Ranakrishnan, Vivek DO
Levy, David I MD
Neurology
Ranakrishnan, Vivek DO
Gender: Male
NPI: 1649505009
License: 20A11668
License Type: Specialist
9350 Campus Point Dr Ste Llb
La Jolla, CA 92037
(858) 657-8200
Affiliated Group(s): Cal Med
Physicians And Surgeons, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Gender: Male
NPI: 1649505009
License: 20A11668
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Cal Med
Physicians And Surgeons, Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Shortz, Roger William MD
Neurological Surgery
SAN DIEGO
Barba, David MD
Neurological Surgery
Gender: Male
NPI: 1093730251
License: G42092
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Ciacci, Joseph D MD
Neurological Surgery
Gender: Male
NPI: 1992725675
License: A50933
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6248
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Khalessi, Alexander A MD
Neurological Surgery
Gender: Male
NPI: 1073786661
License: A95850
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Neurological Surgery
Gender: Male
NPI: 1912189275
License: G81883
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 471-0701
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Marshall, Lawrence F MD
Neurological Surgery
Gender: Male
NPI: 1750306171
License: C36547
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nguyen, Andrew D MD
Neurological Surgery
Gender: Male
NPI: 1720216542
License: A91563
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French, Vietnamese
Pakbaz, Ramin S MD
Neurological Surgery
Gender: Male
NPI: 1811072457
License: A73947
License Type: Specialist
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Neurological Surgery
Neurological Surgery
Gender: Male
NPI: 1437170651
License: C35999
License Type: Specialist
7851 Mission Center Ctr Ste
205
San Diego, CA 92108
(619) 491-0410
Affiliated Group(s): Bay Spine
Medical Associates
Board Certified: No
U, Hoi MD
Neurological Surgery
Gender: Male
NPI: 1164468146
License: G27898
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
NEUROLOGY
ENCINITAS
Grosmann, Carla M MD
Neurology
Gender: Female
NPI: 1497826259
License: G84717
License Type: Specialist
477 N El Camino Real Bldg D
Ste 302
Encinitas, CA 92024
(760) 944-5545
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
98
Specialty Care Providers
Neurology
ESCONDIDO
Olson, Scott E MD
Neurology
Gender: Male
NPI: 1376568659
License: A83715
License Type: Specialist
1955 Citracado Parkway Ste
100
Escondido, CA 92029
(760) 743-3873
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Diego
Imaging Oceanside, San Diego
Imaging Escondido, Ucsd
Medical Group
Board Certified: No
LA JOLLA
Hemmen, Thomas M MD
Neurology
Gender: Male
NPI: 1902821945
License: A72645
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-8530
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Piccioni, David E MD
Neurology
Gender: Male
NPI: 1851542575
License: A100663
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6040
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Bahreman, Amirhassan MD
Neurology
Gender: Male
NPI: 1164426953
License: A973222
License Type: Specialist
8851 Center Dr Ste 307
La Mesa, CA 91942
(619) 460-5850
Affiliated Group(s):
Amirhassan Bahreman Md
Dba Neurological & Pain Inst
Board Certified: No
Physician's Language(s): Farsi
Accessibility: Limited, P, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Brewer, James B MD
NATIONAL CITY
Neurology
Chapman, William T MD
Gender: Male
Neurology
NPI: 1033144985
Gender: Male
License: A89348
NPI: 1164558920
License Type: Specialist
License: G38997
200 W Arbor Dr 3rd Fl Ste 1
License Type: Specialist
San Diego, CA 92103
2340 E 8th St Ste G
(619) 543-6222
National City, CA 91950
Affiliated Hospital(s): Ucsd
(619) 475-3870
Medical Center
Affiliated Group(s): William T
Affiliated Group(s): Ucsd
Chapman Md Inc
Medical Group
Board Certified: No
Board Certified: No
Physician's Language(s):
OCEANSIDE
Hebrew
Olson, Scott E MD
Neurology
Bui, Jonathan D MD
Gender: Male
Neurology
NPI: 1376568659
Gender: Male
License: A83715
NPI: 1730247974
License Type: Specialist
License: A96574
3909 Waring Rd Ste C
License Type: Specialist
Oceanside, CA 92056
200 W Arbor Dr 3rd Fl Ste 1
(760) 630-0014
San Diego, CA 92103
Affiliated Hospital(s): Ucsd
(619) 543-6222
Medical Center
Affiliated Hospital(s): Ucsd
Affiliated Group(s): San Diego
Medical Center
Imaging Oceanside, San Diego Affiliated Group(s): Ucsd
Imaging Escondido, Ucsd
Medical Group
Medical Group
Board Certified: No
Board Certified: No
Corey-bloom, Jody MD
SAN DIEGO
Agrawal, Kunal MD
Neurology
Gender: Male
NPI: 1093074122
License: A134968
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ansari, Hossein MD
Neurology
Gender: Male
NPI: 1578774949
License: A121526
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5443
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Farsi
Neurology
Gender: Female
NPI: 1053400093
License: G062847
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
Duckworth, Josh L MD
Neurology
Gender: Male
NPI: 1194797647
License: C55564
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ellis, Ronald J MD
Neurology
Neurology
Gender: Male
NPI: 1992763114
License: G070659
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gertsch, Jeffrey H MD
Neurology
Gender: Male
NPI: 1730352287
License: A88828
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Gonzalez, Cynthia MD
Neurology
Gender: Female
NPI: 1871767210
License: A131602
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Grosmann, Carla M MD
Neurology
Gender: Female
NPI: 1497826259
License: G84717
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3500
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
99
Specialty Care Providers
Neurology
Grosmann, Carla M MD
Neurology
Gender: Female
NPI: 1497826259
License: G84717
License Type: Specialist
3030 Childrens Way Ste 202
San Diego, CA 92123
(858) 576-5819
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Haas, Richard H MD
Neurology
Gender: Male
NPI: 1700801867
License: A38555
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Harati, Yadollah MD
Neurology
Gender: Male
NPI: 1205916566
License: C145982
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6291
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Physician's Language(s): Farsi
Hemmen, Thomas M MD
Neurology
Gender: Male
NPI: 1902821945
License: A72645
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Huisa-garate, Branko N MD
Karanjia, Navaz P MD
Neurology
Gender: Male
NPI: 1063551000
License: A108574
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Iragui, Vicente MD
Neurology
Gender: Male
NPI: 1053326710
License: A31274
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Vericare
Board Certified: No
Physician's Language(s):
Spanish
Kagnoff, Melissa N MD
Neurology
Gender: Female
NPI: 1679764179
License: A121332
License Type: Specialist
6699 Alvarado Rd Ste 2301
San Diego, CA 92120
(619) 582-2595
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Kansal, Leena R MD
Neurology
Gender: Female
NPI: 1871759084
License: A99271
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Neurology
Gender: Female
NPI: 1073774873
License: A99879
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Khoromi, Suzan MD
Neurology
Gender: Female
NPI: 1588803340
License: G136006
License Type: Specialist
4510 Executive Dr Ste 325
San Diego, CA 92121
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Physician's Language(s): Farsi
Konersman, Chamindra G MD
Neurology
Gender: Female
NPI: 1538320395
License: A101351
License Type: Specialist
200 West Arbor Dr 3rd Floor
#1
San Diego, CA 92103
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Labuzetta, Jamie N MD
Neurology
Gender: Female
NPI: 1316268949
License: A130618
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lee, David J MD
Neurology
Neurology
Gender: Male
NPI: 1871884130
License: A124329
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Korean
Lee, David J MD
Neurology
Gender: Male
NPI: 1871884130
License: A124329
License Type: Specialist
4510 Executive Dr Ste 325
San Diego, CA 92121
(858) 657-8540
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Korean
Lessig, Stephanie L MD
Neurology
Gender: Female
NPI: 1134167141
License: A81417
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Licht, Jonathan M MD
Neurology
Gender: Male
NPI: 1356321988
License: G43892
License Type: Specialist
4033 3rd Ave Ste 206
San Diego, CA 92103
(619) 294-9292
Affiliated Group(s): Jonathan
M Licht Md
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
100
Specialty Care Providers
San Diego County
Nuclear Medicine
Lipton, Stuart A MD
Neurology
Gender: Male
NPI: 1578596292
License: G85439
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Malik, Sudhir V MD
Neurology
Gender: Male
NPI: 1801884523
License: C54773
License Type: Specialist
4033 3rd Ave Ste 206
San Diego, CA 92103
(619) 294-9292
Affiliated Group(s): Sudhir
Malik A Professional Medical
Corporation
Board Certified: No
Physician's Language(s):
Spanish, Hindi
Mandeville, Ross M MD
Neurology
Gender: Male
NPI: 1205084183
License: A111236
License Type: Specialist
200 West Arbor Dr 3rd Floor
#1
San Diego, CA 92103
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Meyer, Brett C MD
Neurology
Gender: Male
NPI: 1316011265
License: A70903
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
Modir, Royya F MD
Shtrahman, Matthew MD
Neurology
Gender: Female
NPI: 1295909554
License: A121407
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Farsi
Olson, Scott E MD
Neurology
Gender: Male
NPI: 1376568659
License: A83715
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Diego
Imaging Oceanside, San Diego
Imaging Escondido, Ucsd
Medical Group
Board Certified: No
Schumann Jr, Richard J MD
Neurology
Gender: Male
NPI: 1831157916
License: A62324
License Type: Specialist
16776 Bernardo Center Dr Ste
209
San Diego, CA 92128
(858) 675-1112
Mon-Fri 9:00 am-4:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Shtrahman, Matthew MD
Neurology
Gender: Male
NPI: 1740440460
License: A108752
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
0662
San Diego, CA 92103
(858) 657-8540
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Neurology
Gender: Male
NPI: 1740440460
License: A108752
License Type: Specialist
4510 Executive Dr Ste 325
San Diego, CA 92121
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Tecoma, Evelyn S MD
Neurology
Gender: Female
NPI: 1174556518
License: G58138
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Viirre, Erik S MD
Neurology
Gender: Male
NPI: 1093743601
License: G82354
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
NUCLEAR MEDICINE
SAN DIEGO
Belezzuoli, Ernest V MD
Nuclear Medicine
Gender: Male
NPI: 1083703805
License: G74168
License Type: Specialist
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nurse Anesthetist, Certified
Registered
Hoh, Carl K MD
Nuclear Medicine
Gender: Male
NPI: 1962427682
License: G61309
License Type: Specialist
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kipper, Michael S MD
Nuclear Medicine
Gender: Male
NPI: 1639107964
License: A24718
License Type: Specialist
3444 Kearny Villa Rd Ste 201
San Diego, CA 92123
(858) 430-1101
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
NURSE ANESTHETIST,
CERTIFIED
REGISTERED
SAN DIEGO
Anderson, Jill CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1831146760
License: CRNA2337
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Burkard, Joseph CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1033181185
License: CRNA2403
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
101
Specialty Care Providers
Nurse Anesthetist, Certified
Registered
Driver, Margaret CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1053437293
License: CRNA2196
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dusseau, Laura CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1679692321
License: RN554712
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Gambala, Gerald CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1245490820
License: CRNA583590
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Garst, Shane CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1659739183
License: NA95000471
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 543-5754
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Anesthesia
Medical Group Of Imperial
Valley Inc, Ucsd Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
Goodan, Jeffrey CRNA
John, Jamie S CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1689862476
License: CRNA3607
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Grischy, Jeanie CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1659390599
License: CRNA1277
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Higgins, David CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1205073723
License: CRNA3727
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Holm, John CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1245332261
License: CRNA2439
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1184602153
License: CRNA3513
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mcgrath, Jeffrey J CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1356588412
License: CRNA3595
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Minton, John CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1437498417
License: NA4351
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5754
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Nodler, Tammy CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1750540902
License: CRNA3651
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Nurse Anesthetist, Certified
Registered
Penfold, Jason CRNA
Nurse Anesthetist, Certified
Registered
Gender: Male
NPI: 1518164649
License: CRNA3743
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Reynolds, Michele CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1023076916
License: CRNA2512
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Spence, Catherine M CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1639366800
License: CRNA3620
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Walker, Elisabeth CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1003864984
License: CRNA2578
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
102
Specialty Care Providers
Occupational Therapist
Wieduwilt, Jessica CRNA
Nurse Anesthetist, Certified
Registered
Gender: Female
NPI: 1558699090
License: CRNA3885
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
OCCUPATIONAL
THERAPIST
CHULA VISTA
Morris, Sheila OT
Occupational Therapist
Gender: Female
NPI: 1689039877
License: OT15057
License Type: Specialist
1020 Tierra Del Rey Ste A1
Chula Vista, CA 91910
(619) 585-7104
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Coastal
Therapy Associates, Premier
Physical Therapy, San Diego
Spine And Sport Inc
Board Certified: No
EL CAJON
Morris, Sheila OT
Occupational Therapist
Gender: Female
NPI: 1689039877
License: OT15057
License Type: Specialist
1625 E Main St Ste 101
El Cajon, CA 92021
(619) 440-9444
Affiliated Group(s): Coastal
Therapy Associates, Premier
Physical Therapy, San Diego
Spine And Sport Inc
Board Certified: No
ENCINITAS
Cross, Christie OT
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Morris, Sheila OT
SAN DIEGO
Occupational Therapist
Cook, Natalie M OT
Gender: Female
Occupational Therapist
NPI: 1689039877
Gender: Female
License: OT15057
NPI: 1043764988
License Type: Specialist
License: OT14394
201 S El Camino Real Ste A
License Type: Specialist
Encinitas, CA 92024
1809 National Ave
(760) 274-1671
San Diego, CA 92113
Affiliated Group(s): Coastal
(619) 515-2300
Therapy Associates, Premier
Mon 8:00am-7:00pm, Tue-Thu
Physical Therapy, San Diego
8:00am-6:00pm, Fri
Spine And Sport Inc
8:00am-5:30pm, Sat
Board Certified: No
8:00am-5:00pm
Affiliated Group(s): Family
OCEANSIDE
Health Centers Of San Diego
Cross, Christie OT
Inc
Occupational Therapist
Board Certified: No
Gender: Female
Physician's
Language(s):
NPI: 1518377308
Spanish
License: OT14241
License Type: Specialist
Cross, Christie OT
2741 Vista Way Ste 103
Occupational Therapist
Oceanside, CA 92054
Gender: Female
(760) 547-2666
NPI: 1518377308
Mon 7:00am-5:00pm, Tue
License: OT14241
8:00am-5:00pm, Wed
License Type: Specialist
7:00am-5:00pm, Thu
3760 Convoy St Ste 100
8:00am-5:00pm, Fri
San Diego, CA 92111
7:00am-5:00pm
(858) 573-9368
Affiliated Group(s): San Diego
Affiliated Group(s): San Diego
Spine And Sport Inc
Spine And Sport Inc
Board Certified: No
Board Certified: No
Morris, Sheila OT
Laurio, Marieven B OT
Occupational Therapist
Gender: Female
NPI: 1689039877
License: OT15057
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): Coastal
Therapy Associates, Premier
Physical Therapy, San Diego
Spine And Sport Inc
Board Certified: No
Occupational Therapist
Gender: Female
NPI: 1477986602
License: OT13574
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Tagalog
Occupational Therapist
Morris, Sheila OT
Occupational Therapist
Gender: Female
NPI: 1689039877
License: OT15057
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(858) 573-9368
Affiliated Group(s): Coastal
Therapy Associates, Premier
Physical Therapy, San Diego
Spine And Sport Inc
Board Certified: No
Von Tersch, Theresa OT
Occupational Therapist
Gender: Female
NPI: 1164860904
License: OT0119005562
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:15am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
Williams, Madison L OT
Occupational Therapist
Gender: Female
NPI: 1972933547
License: OT13888
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2512
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Occupational Therapist
Gender: Female
NPI: 1518377308
License: OT14241
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
103
Specialty Care Providers
Oncology
SANTEE
Porter, Eileen OT
Occupational Therapist
Gender: Female
NPI: 1770631160
License: OT6338
License Type: Specialist
9830 Prospect Ave
Santee, CA 92071
(619) 448-4860
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
ONCOLOGY
CHULA VISTA
Al Kourainy, Kousay A MD
Oncology
Gender: Male
NPI: 1457361271
License: A39783
License Type: Specialist
480 4th Ave Ste 409
Chula Vista, CA 91910
(619) 425-2080
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Kousay A
Al Kourainy Md
Board Certified: Yes
ENCINITAS
Baroudi, Houssam MD
Oncology
Gender: Male
NPI: 1316936933
License: A67327
License Type: Specialist
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 634-6661
Affiliated Group(s): Uc San
Diego Cancer Center
Board Certified: No
LA JOLLA
Miller, Aaron M MD
Oncology
Gender: Male
NPI: 1104127679
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-3115
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Chang, Tom Shio Min MD
OCEANSIDE
Ophthalmology
Oblon, David J MD
Gender: Male
Oncology
NPI: 1609848969
Gender: Male
License: A69909
NPI: 1215072434
License Type: Specialist
License: G85016
1620 Alpine Blvd Ste 117
License Type: Specialist
Alpine, CA 91901
3617 Vista Way
(619) 445-2687
Oceanside, CA 92056
Mon 9:00am-5:00pm, Tue
(760) 940-2525
10:00am-6:00pm, Wed
Affiliated Group(s): North
9:00am-5:00pm, Thu
County Oncology Medical Inc
8:00am-5:00pm,
Fri
Board Certified: No
9:00am-4:00pm
Paroly, Warren S MD
Affiliated Group(s): Barry
Oncology
Katzman Md Inc Apc West
Gender: Male
Coast Eye Care Associates,
NPI: 1306981527
California Eye And Ear
License: G29867
Specialists
License Type: Specialist
Board Certified: No
3617 Vista Way
Physician's Language(s):
Oceanside, CA 92056
Spanish, Vietnamese
(760) 940-2525
Hedaya, Joshua MD
Affiliated Group(s): North
Ophthalmology
County Oncology Medical Inc
Gender: Male
Board Certified: No
NPI: 1881618023
License: A95681
VISTA
License Type: Specialist
Baroudi, Houssam MD
1620
Alpine Blvd Ste 117
Oncology
Alpine, CA 91901
Gender: Male
(619) 445-2687
NPI: 1316936933
Mon 9:00am-5:00pm, Tue
License: A67327
10:00am-6:00pm, Wed
License Type: Specialist
9:00am-5:00pm, Thu
910 Sycamore Ave Ste 102
8:00am-5:00pm,
Fri
Vista, CA 92081
9:00am-4:00pm
(760) 598-1700
Affiliated Group(s): California
Affiliated Group(s): Uc San
Eye And Ear Specialists, Retina
Diego Cancer Center
Institute Of Calif Med Grp
Board Certified: No
Board Certified: No
Accessibility: Limited, P, R, E
OPHTHALMOLOGY
ALPINE
Boeckmann, Jessica M MD
Ophthalmology
Gender: Female
NPI: 1629210679
License: A124361
License Type: Specialist
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
Mon 9:00am-5:00pm, Tue
10:00am-6:00pm, Wed
9:00am-5:00pm, Thu
8:00am-5:00pm, Fri
9:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
CHULA VISTA
Carraby, Arnett MD
Ophthalmology
Gender: Male
NPI: 1366530792
License: G47836
License Type: Specialist
835 3rd Ave
Chula Vista, CA 91911
(619) 425-7755
Affiliated Group(s): Nasrin
And Hamid Mani Ptr Dba
California Retina Assoc,
Vantage Medical Group
Board Certified: No
Ophthalmology
De Castro-marceau, Dawn M
MD
Ophthalmology
Gender: Female
NPI: 1629275912
License: A132200
License Type: Specialist
342 F St
Chula Vista, CA 91910
(619) 422-1471
Mon-Fri 8:00am-5:00pm, Sat
8:00am-12:00pm
Affiliated Group(s): Castillejos
Eye Institute Medical Group,
Vantage Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Echegoyen, Julio C MD
Ophthalmology
Gender: Male
NPI: 1770801540
License: A121431
License Type: Specialist
480 4th Ave Ste 201
Chula Vista, CA 91910
(619) 427-3355
Affiliated Group(s): The Eye
Institute Of California Inc,
Ucsd Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Jardon, Javier A MD
Ophthalmology
Gender: Male
NPI: 1609171982
License: A131365
License Type: Specialist
835 3rd Ave Ste A
Chula Vista, CA 91911
(619) 425-7755
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Faculty
Physicians & Surgeons Of
Llusm Inc, Nasrin And Hamid
Mani Ptr Dba California Retina
Assoc
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
104
Specialty Care Providers
Ophthalmology
Moss, Jason MD
Ophthalmology
Gender: Male
NPI: 1386961423
License: A130529
License Type: Specialist
835 3rd Ave Ste A
Chula Vista, CA 91911
(619) 425-7755
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): California
Eye And Ear Specialists, Nasrin
And Hamid Mani Ptr Dba
California Retina Assoc
Board Certified: No
Pons, Mauricio E MD
Ophthalmology
Gender: Male
NPI: 1376723759
License: A87650
License Type: Specialist
865 3rd Ave Ste 112
Chula Vista, CA 91911
(619) 425-7755
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Nasrin
And Hamid Mani Ptr Dba
California Retina Assoc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Shaw, Blake R MD
Ophthalmology
Gender: Male
NPI: 1649206541
License: G61394
License Type: Specialist
890 Eastlake Pkwy Ste 205
Chula Vista, CA 91914
(619) 216-0400
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Skaf, Ayham R MD
Hedaya, Joshua MD
Ophthalmology
Gender: Female
NPI: 1285888628
License: A120584
License Type: Specialist
835 3rd Ave
Chula Vista, CA 91911
(619) 425-7755
Affiliated Group(s): Nasrin
And Hamid Mani Ptr Dba
California Retina Assoc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic
EL CAJON
Boeckmann, Jessica M MD
Ophthalmology
Gender: Female
NPI: 1629210679
License: A124361
License Type: Specialist
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
Mon 8:30am-5:00pm, Tue
10:00am-6:00pm, Wed
9:00am-5:00pm, Thu
8:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Chang, Tom Shio Min MD
Ophthalmology
Gender: Male
NPI: 1609848969
License: A69909
License Type: Specialist
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
Mon 8:30am-5:00pm, Tue
10:00am-6:00pm, Wed
9:00am-5:00pm, Thu
8:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Ophthalmology
Gender: Male
NPI: 1881618023
License: A95681
License Type: Specialist
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
Mon 8:30am-5:00pm, Tue
10:00am-6:00pm, Wed
9:00am-5:00pm, Thu
8:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): California
Eye And Ear Specialists, Retina
Institute Of Calif Med Grp
Board Certified: No
Hsu, Christopher H MD
Ophthalmology
Gender: Male
NPI: 1336167618
License: A65973
License Type: Specialist
225 W Madison Ave Ste 1
El Cajon, CA 92020
(619) 442-0844
Affiliated Group(s):
Christopher H Hsu Md, Eye
Physicians Medical Group Inc
Board Certified: No
Physician's Language(s):
Spanish, Tagalog, Taiwanese
Miller, Douglas G MD
Ophthalmology
Gender: Male
NPI: 1982636031
License: G52627
License Type: Specialist
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
Mon 8:30am-5:00pm, Tue
10:00am-6:00pm, Wed
9:00am-5:00pm, Thu
8:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
Vantage Medical Group
Board Certified: No
Ophthalmology
Patel, Sarjan H MD
Ophthalmology
Gender: Male
NPI: 1316199326
License: A114976
License Type: Specialist
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
Mon 8:30am-5:00pm, Tue
10:00am-6:00pm, Wed
9:00am-5:00pm, Thu
8:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Gujarati, Hindi,
Vietnamese
ESCONDIDO
Ahmed, Ednan MD
Ophthalmology
Gender: Male
NPI: 1215093125
License: A107504
License Type: Specialist
215 S Hickory St Ste 102
Escondido, CA 92025
(760) 743-4393
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Ednan
Ahmed Md Inc
Board Certified: No
Boeckmann, Jessica M MD
Ophthalmology
Gender: Female
NPI: 1629210679
License: A124361
License Type: Specialist
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
Mon 8:30am-5:00pm, Tue
9:00am-5:00pm, Wed
10:00am-6:00pm, Thu
9:00am-5:00pm, Fri
7:30am-3:30pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
105
Specialty Care Providers
Ophthalmology
Bokosky, John E MD
Ophthalmology
Gender: Male
NPI: 1245215748
License: G51651
License Type: Specialist
700 W El Norte Pkwy
Escondido, CA 92026
(800) 765-2737
Affiliated Group(s): Eye Care
Of San Diego
Board Certified: No
Chang, Tom Shio Min MD
Ophthalmology
Gender: Male
NPI: 1609848969
License: A69909
License Type: Specialist
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
Mon 8:30am-5:00pm, Tue
9:00am-5:00pm, Wed
10:00am-6:00pm, Thu
9:00am-5:00pm, Fri
7:30am-3:30pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Morrison Reyes, Joshua A MD
Ophthalmology
Gender: Male
NPI: 1235366782
License: A125435
License Type: Specialist
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
Mon 8:30am-5:00pm, Tue
9:00am-5:00pm, Wed
10:00am-6:00pm, Thu
9:00am-5:00pm, Fri
7:30am-3:30pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Samuel, Michael A MD
LA JOLLA
Ophthalmology
Bokosky, John E MD
Gender: Male
Ophthalmology
NPI: 1730175670
Gender: Male
License: A83237
NPI: 1245215748
License Type: Specialist
License: G51651
830 W Valley Pkwy Ste 300
License Type: Specialist
Escondido, CA 92025
9834 Genesee Ave Ste 428
(760) 743-5872
La Jolla, CA 92037
Mon 8:30am-5:00pm, Tue
(800) 765-2737
9:00am-5:00pm, Wed
Affiliated Group(s): Eye Care
10:00am-6:00pm, Thu
Of San Diego
9:00am-5:00pm, Fri
Board Certified: No
7:30am-3:30pm
Brown,
Stuart I MD
Affiliated Group(s): Barry
Ophthalmology
Katzman Md Inc Apc West
Gender: Male
Coast Eye Care Associates,
NPI: 1356376347
California Eye And Ear
License: C40767
Specialists
License Type: Specialist
Board Certified: No
9415 Campus Point Dr
Physician's Language(s):
La Jolla, CA 92093
Spanish, Armenian,
(858) 534-6290
Vietnamese
Affiliated Hospital(s): Ucsd
Tan, Kevin S MD
Medical Center
Ophthalmology
Affiliated Group(s): Ucsd
Gender: Male
Medical Group
NPI: 1063654978
Board Certified: No
License: A114778
Camp, Andrew S MD
License Type: Specialist
Ophthalmology
700 W El Norte Pkwy
Gender: Male
Escondido, CA 92026
NPI: 1326300377
(760) 738-7800
License: A142062
Affiliated Group(s): Eye Care
License Type: Specialist
Of San Diego
9415 Campus Point Dr
Board Certified: No
La Jolla, CA 92093
Thomas, Robert M MD
(858) 534-6290
Ophthalmology
Affiliated Group(s): Ucsd
Gender: Male
Medical Group
NPI: 1154337095
Board Certified: No
License: C314830
Chen, Kevin C MD
License Type: Specialist
Ophthalmology
700 W El Norte Pkwy
Gender: Male
Escondido, CA 92026
NPI: 1447518832
(760) 738-7800
License: A142152
Affiliated Group(s): Eye Care
License Type: Specialist
Of San Diego
9415 Campus Point Dr
Board Certified: No
La Jolla, CA 92093
FALLBROOK
(858) 534-6290
Parekh, Anjali MD
Affiliated Group(s): Ucsd
Ophthalmology
Medical Group
Gender: Female
Board Certified: No
NPI: 1053517789
License: A105571
License Type: Specialist
521 E Elder St #102
Fallbrook, CA 92028
(760) 728-5728
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Ophthalmology
Freeman, William MD
Ophthalmology
Gender: Male
NPI: 1518983352
License: G51579
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Haw, Weldon MD
Ophthalmology
Gender: Male
NPI: 1710945357
License: A60743
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Heichel, Christopher W D MD
Ophthalmology
Gender: Male
NPI: 1083667307
License: A75001
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Ho, Joseph MD
Ophthalmology
Gender: Male
NPI: 1962766451
License: A137389
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
106
Specialty Care Providers
Ophthalmology
Ko, Audrey C MD
Ophthalmology
Gender: Male
NPI: 1891089546
License: A135381
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Moayedpardazi, Hamideh S
MD
Ophthalmology
Gender: Female
NPI: 1386933240
License: A137200
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Ng, Diana MD
Ophthalmology
Gender: Female
NPI: 1710112941
License: A115695
License Type: Specialist
9834 Genesee Ave Ste 200
La Jolla, CA 92037
(858) 457-3050
Affiliated Group(s): The Eye
Institute Of California Inc
Board Certified: No
Physician's Language(s):
Cantonese
Nudleman, Eric D MD
Ophthalmology
Gender: Male
NPI: 1154582575
License: A131592
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Nudleman, Eric D MD
Savino, Peter J MD
Ophthalmology
Gender: Male
NPI: 1154582575
License: A131592
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pansara, Megha L MD
Ophthalmology
Gender: Female
NPI: 1184983728
License: A143429
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Gujarati
Raja, Harish MD
Ophthalmology
Gender: Male
NPI: 1811251853
License: A142956
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ramkumar, Hema L MD
Ophthalmology
Gender: Female
NPI: 1184919524
License: A121980
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ophthalmology
Gender: Male
NPI: 1467451898
License: A29965
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Italian
See, Craig W MD
Ophthalmology
Gender: Male
NPI: 1982962858
License: A142828
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tan, Kevin S MD
Ophthalmology
Gender: Male
NPI: 1063654978
License: A114778
License Type: Specialist
9834 Genesee Ave
La Jolla, CA 92037
(858) 404-0220
Affiliated Group(s): Eye Care
Of San Diego
Board Certified: No
Thomas, Robert M MD
Ophthalmology
Gender: Male
NPI: 1154337095
License: C314830
License Type: Specialist
9834 Genesee Ave
La Jolla, CA 92037
(858) 404-0220
Affiliated Group(s): Eye Care
Of San Diego
Board Certified: No
Ophthalmology
Weinreb, Robert N MD
Ophthalmology
Gender: Male
NPI: 1093764177
License: G33398
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Welsbie, Derek S MD
Ophthalmology
Gender: Male
NPI: 1588869945
License: C143481
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Westeren, Alan C MD
Ophthalmology
Gender: Male
NPI: 1962513135
License: G79738
License Type: Specialist
6529 La Jolla Blvd
La Jolla, CA 92037
(858) 454-1942
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Alan C
Westeren Md Inc
Board Certified: No
Xu, Benjamin Y MD
Ophthalmology
Gender: Male
NPI: 1487910063
License: A128970
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Mandarin
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
107
Specialty Care Providers
Ophthalmology
Zhang, Kang MD
Ophthalmology
Gender: Male
NPI: 1972693562
License: C53304
License Type: Specialist
9415 Campus Point Dr
La Jolla, CA 92093
(858) 534-6290
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
NATIONAL CITY
Boeckmann, Jessica M MD
Ophthalmology
Gender: Female
NPI: 1629210679
License: A124361
License Type: Specialist
2240 E Plaza Blvd Ste F & G
National City, CA 91950
(619) 470-2700
Mon 7:30am-7:30pm, Tue
10:00am-6:00pm, Wed-Thu
9:00am-5:00pm, Fri
9:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Chang, Tom Shio Min MD
Ophthalmology
Gender: Male
NPI: 1609848969
License: A69909
License Type: Specialist
2240 E Plaza Blvd Ste F & G
National City, CA 91950
(619) 470-2700
Mon 7:30am-7:30pm, Tue
10:00am-6:00pm, Wed-Thu
9:00am-5:00pm, Fri
9:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Hedaya, Joshua MD
Boeckmann, Jessica M MD
Ophthalmology
Gender: Male
NPI: 1881618023
License: A95681
License Type: Specialist
2240 E Plaza Blvd
National City, CA 91950
(619) 424-0931
Affiliated Group(s): California
Eye And Ear Specialists, Retina
Institute Of Calif Med Grp
Board Certified: No
OCEANSIDE
Jain, Atul K MD
Ophthalmology
Gender: Male
NPI: 1194905711
License: A92495
License Type: Specialist
3231 Waring Ct
Oceanside, CA 92056
(760) 631-6144
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Memorial Hospital, Tri City
Medical Center
Affiliated Group(s): Mark D
Smith Md And Fane L
Robinson Md Inc, San Diego
Retina Associates
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Punjabi
SAN DIEGO
Afshari, Natalie A MD
Ophthalmology
Gender: Female
NPI: 1538126735
License: C51849
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Bei, Ling Y MD
Ophthalmology
Gender: Female
NPI: 1164740460
License: A129618
License Type: Specialist
200 West Arbor Dr Ste 101
San Diego, CA 92103
(619) 543-6244
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ophthalmology
Gender: Female
NPI: 1629210679
License: A124361
License Type: Specialist
4344 Convoy St
San Diego, CA 92111
(858) 565-8822
Mon 10:00am-6:00pm, Tue
8:30am-4:30pm, Wed
7:30am-4:00pm, Thu
9:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Boeckmann, Jessica M MD
Ophthalmology
Gender: Female
NPI: 1629210679
License: A124361
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon 7:30am-4:30pm, Tue
8:00am-5:00pm, Wed
8:30am-5:00pm, Thu
8:00am-6:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Bokosky, John E MD
Ophthalmology
Gender: Male
NPI: 1245215748
License: G51651
License Type: Specialist
3939 3rd Ave
San Diego, CA 92103
(619) 296-8525
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Eye Care
Of San Diego
Board Certified: No
Ophthalmology
Chang, Tom Shio Min MD
Ophthalmology
Gender: Male
NPI: 1609848969
License: A69909
License Type: Specialist
4344 Convoy St
San Diego, CA 92111
(858) 565-8822
Mon 10:00am-6:00pm, Tue
8:30am-4:30pm, Wed
7:30am-4:00pm, Thu
9:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Chang, Tom Shio Min MD
Ophthalmology
Gender: Male
NPI: 1609848969
License: A69909
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon 7:30am-4:30pm, Tue
8:00am-5:00pm, Wed
8:30am-5:00pm, Thu
8:00am-6:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Physician's Language(s):
Spanish, Vietnamese
Choplin, Neil T MD
Ophthalmology
Gender: Male
NPI: 1144205642
License: G57042
License Type: Specialist
3939 3rd Ave
San Diego, CA 92103
(619) 296-8525
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Eye Care
Of San Diego
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
108
Specialty Care Providers
Ophthalmology
Cooper, Lawrence MD
Ophthalmology
Gender: Male
NPI: 1518939297
License: G27092
License Type: Specialist
233 Lewis St
San Diego, CA 92103
(619) 990-5656
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Lawrence
N Cooper Md, Vantage Medical
Group
Board Certified: Yes
Echegoyen, Julio C MD
Ophthalmology
Gender: Male
NPI: 1770801540
License: A121431
License Type: Specialist
200 West Arbor Dr Ste 101
San Diego, CA 92103
(619) 543-6244
Affiliated Group(s): The Eye
Institute Of California Inc,
Ucsd Medical Group
Board Certified: No
Physician's Language(s):
Spanish
El Khatib, Nora MD
Ophthalmology
NPI: 1538487756
License: A140794
License Type: Specialist
233 Lewis St
San Diego, CA 92103
(619) 501-9050
Affiliated Group(s): Nora El
Khatib
Board Certified: No
Ferreyra, Henry A MD
Ophthalmology
Gender: Male
NPI: 1669497822
License: A77921
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Goldbaum, Michael H MD
Hudson, Henry L MD
Ophthalmology
Gender: Male
NPI: 1720157142
License: C32010
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Granet, David MD
Ophthalmology
Gender: Male
NPI: 1982629036
License: G77597
License Type: Specialist
200 West Arbor Dr Ste 101
San Diego, CA 92103
(619) 543-6244
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hedaya, Joshua MD
Ophthalmology
Gender: Male
NPI: 1881618023
License: A95681
License Type: Specialist
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
Affiliated Group(s): California
Eye And Ear Specialists, Retina
Institute Of Calif Med Grp
Board Certified: No
Hedaya, Joshua MD
Ophthalmology
Gender: Male
NPI: 1881618023
License: A95681
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon 7:30am-4:30pm, Tue
8:00am-5:00pm, Wed
8:30am-5:00pm, Thu
8:00am-6:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): California
Eye And Ear Specialists, Retina
Institute Of Calif Med Grp
Board Certified: No
Ophthalmology
Gender: Male
NPI: 1851349195
License: G76091
License Type: Specialist
7695 Cardinal Ct Ste 100
San Diego, CA 92123
(858) 609-7100
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): San Diego
Retina Associates
Board Certified: No
Isfahani, Arash M MD
Ophthalmology
Gender: Male
NPI: 1093948176
License: A125387
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6244
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French, Farsi
Jain, Atul K MD
Ophthalmology
Gender: Male
NPI: 1194905711
License: A92495
License Type: Specialist
7695 Cardinal Ct Ste 100
San Diego, CA 92123
(858) 609-7100
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Memorial Hospital, Tri City
Medical Center
Affiliated Group(s): Mark D
Smith Md And Fane L
Robinson Md Inc, San Diego
Retina Associates
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Punjabi
Ophthalmology
Katzman, Barry MD
Ophthalmology
Gender: Male
NPI: 1760473797
License: A34834
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon 7:30am-4:30pm, Tue
8:00am-5:00pm, Wed
8:30am-5:00pm, Thu
8:00am-6:00pm, Fri
8:00am-4:00pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates
Board Certified: Yes
Physician's Language(s):
Spanish, Tagalog, Vietnamese
Kikkawa, Don MD
Ophthalmology
Gender: Male
NPI: 1932202371
License: G65447
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Korn, Bobby S MD
Ophthalmology
Gender: Male
NPI: 1174551006
License: A81749
License Type: Specialist
200 W Arbor Dr Ste 101
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Thai
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
109
Specialty Care Providers
Ophthalmology
Lee, Jeffrey E MD
Ophthalmology
Gender: Male
NPI: 1801943279
License: A97291
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Cantonese
Medeiros, Felipe A MD
Ophthalmology
Gender: Male
NPI: 1912922311
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Portugese
Morrison Reyes, Joshua A MD
Ophthalmology
Gender: Male
NPI: 1235366782
License: A125435
License Type: Specialist
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Morrison Reyes, Joshua A MD
Pansara, Megha L MD
Ophthalmology
Gender: Male
NPI: 1235366782
License: A125435
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon 7:30am-4:30pm, Tue
8:00am-5:00pm, Wed
8:30am-5:00pm, Thu
8:00am-6:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Nguyen, Thao P MD
Ophthalmology
Gender: Female
NPI: 1154352185
License: G81689
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Vietnamese
O'brien Jr, Christopher P MD
Ophthalmology
Gender: Male
NPI: 1629263421
License: A116707
License Type: Specialist
200 W Arbor Dr Ste 101
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ophthalmology
Gender: Female
NPI: 1184983728
License: A143429
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6886
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Gujarati
Patel, Sarjan H MD
Ophthalmology
Gender: Male
NPI: 1316199326
License: A114976
License Type: Specialist
2220 E Plaza Blvd Ste H
San Diego, CA 92115
(619) 697-4600
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Gujarati, Hindi,
Vietnamese
Patel, Sarjan H MD
Ophthalmology
Gender: Male
NPI: 1316199326
License: A114976
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon 7:30am-4:30pm, Tue
8:00am-5:00pm, Wed
8:30am-5:00pm, Thu
8:00am-6:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Gujarati, Hindi,
Vietnamese
Ophthalmology
Pirouz, Ashkan MD
Ophthalmology
Gender: Male
NPI: 1942489356
License: A97183
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3000
Affiliated Group(s): Hpn Affiliated Doctors Of Orange
County
Board Certified: No
Raja, Harish MD
Ophthalmology
Gender: Male
NPI: 1811251853
License: A142956
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Robbins, Shira L MD
Ophthalmology
Gender: Female
NPI: 1508814914
License: A78486
License Type: Specialist
200 West Arbor Dr Ste 101
San Diego, CA 92103
(619) 543-6244
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Saluja, Raminder K MD
Ophthalmology
Gender: Female
NPI: 1528017126
License: C52529
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish, Punjabi, Tagalog,
Vietnamese
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
110
Specialty Care Providers
Ophthalmology
Samuel, Michael A MD
Ophthalmology
Gender: Male
NPI: 1730175670
License: A83237
License Type: Specialist
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Physician's Language(s):
Spanish, Armenian,
Vietnamese
Samuel, Michael A MD
Ophthalmology
Gender: Male
NPI: 1730175670
License: A83237
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Mon 7:30am-4:30pm, Tue
8:00am-5:00pm, Wed
8:30am-5:00pm, Thu
8:00am-6:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates,
California Eye And Ear
Specialists
Board Certified: No
Physician's Language(s):
Spanish, Armenian,
Vietnamese
See, Craig W MD
Ophthalmology
Gender: Male
NPI: 1982962858
License: A142828
License Type: Specialist
200 W Arbor Dr Ste 101
San Diego, CA 92103
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Shaw, Blake R MD
Shultz, Mitchell C MD
Ophthalmology
Gender: Male
NPI: 1649206541
License: G61394
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Shultz, Mitchell C MD
Ophthalmology
Gender: Male
NPI: 1427153022
License: G79168
License Type: Specialist
4344 Convoy St
San Diego, CA 92111
(858) 565-8822
Mon 10:00am-6:00pm, Tue
8:30am-4:30pm, Wed
7:30am-4:00pm, Thu
9:30am-5:00pm, Fri
8:00am-4:00pm
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates
Board Certified: No
Physician's Language(s):
Spanish
Shultz, Mitchell C MD
Ophthalmology
Gender: Male
NPI: 1427153022
License: G79168
License Type: Specialist
4413 La Jolla Village Dr
San Diego, CA 92122
(858) 320-2100
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates
Board Certified: No
Physician's Language(s):
Spanish
Ophthalmology
Gender: Male
NPI: 1427153022
License: G79168
License Type: Specialist
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
Affiliated Group(s): Barry
Katzman Md Inc Apc West
Coast Eye Care Associates
Board Certified: No
Physician's Language(s):
Spanish
Slight, John R MD
Ophthalmology
Gender: Male
NPI: 1306971239
License: C25107
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tan, Kevin S MD
Ophthalmology
Gender: Male
NPI: 1063654978
License: A114778
License Type: Specialist
3939 3rd Ave
San Diego, CA 92103
(619) 296-8525
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Eye Care
Of San Diego
Board Certified: No
Thomas, Robert M MD
Ophthalmology
Gender: Male
NPI: 1154337095
License: C314830
License Type: Specialist
3939 3rd Ave
San Diego, CA 92103
(619) 296-8525
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Eye Care
Of San Diego
Board Certified: No
Ophthalmology
Tsai, Frank F MD
Ophthalmology
Gender: Male
NPI: 1043530777
License: A130661
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Vasile, Cristiana MD
Ophthalmology
Gender: Female
NPI: 1891002044
License: A122457
License Type: Specialist
200 West Arbor Dr Ste 101
San Diego, CA 92103
(619) 543-6244
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Romanian
Zhu, Feilin MD
Ophthalmology
Gender: Female
NPI: 1497045041
License: A135422
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
SAN YSIDRO
Mani, Nasrin MD
Ophthalmology
Gender: Male
NPI: 1023061314
License: A40473
License Type: Specialist
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Nasrin
And Hamid Mani Ptr Dba
California Retina Assoc, San
Ysidro Health Center
Board Certified: Yes
Physician's Language(s): Farsi
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
111
Specialty Care Providers
Oral & Maxillofacial Surgery
VISTA
Greider, Bradley W MD
Ophthalmology
Gender: Male
NPI: 1508979006
License: G46461
License Type: Specialist
2067 W Vista Way Ste 120
Vista, CA 92083
(760) 758-2020
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
ORAL &
MAXILLOFACIAL
SURGERY
RAMONA
Foroutan, Audrey A DMD
Oral & Maxillofacial Surgery
Gender: Female
NPI: 1093772139
License: DDS49315
License Type: Specialist
217 Earlham St
Ramona, CA 92065
(760) 789-1223
Affiliated Group(s): North
County Health Services
Board Certified: No
SAN DIEGO
Tawfilis, Adel R DDS
Oral & Maxillofacial Surgery
Gender: Male
NPI: 1114037470
License: DDS42008
License Type: Specialist
12264 El Camino Real Ste 111
San Diego, CA 92130
(858) 509-1259
Affiliated Group(s): Adel R
Tawfilis Dds Apc
Board Certified: No
ORTHOPAEDIC HAND
SURGERY
ESCONDIDO
Mann Iii, Joseph M MD
Orthopaedic Hand Surgery
Gender: Male
NPI: 1851389977
License: G21242
License Type: Specialist
735 E Ohio Ave
Escondido, CA 92025
(760) 747-7272
Affiliated Group(s): Joseph M
Man Iii Md Hand Surgery Apc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Eves, William C MD
SAN DIEGO
Orthopaedic Surgery
Rechnic, Mark MD
Gender: Male
Orthopaedic Hand Surgery
NPI: 1588664049
Gender: Male
License: A65653
NPI: 1114060126
License Type: Specialist
License: G42815
480 4th Ave Ste 307
License Type: Specialist
Chula Vista, CA 91910
200 W Arbor Dr
(619) 426-3240
San Diego, CA 92103
Affiliated Hospital(s): Sharp
(619) 543-6222
Chula Vista Medical Center
Affiliated Hospital(s): Ucsd
Affiliated Group(s): William C
Medical Center
Eves Md Inc
Affiliated Group(s): Ucsd
Board Certified: No
Medical Group
Physician's
Language(s):
Board Certified: No
Spanish
ORTHOPAEDIC
Lenihan, Michael R MD
SURGERY
CHULA VISTA
Abitbol, Jean Jacques MD
Orthopaedic Surgery
Gender: Male
NPI: 1245281856
License: G55587
License Type: Specialist
340 4th Ave Ste 11
Chula Vista, CA 91910
(858) 874-2306
Mon-Thu 8:30 am-4:30 pm, Fri
8:30 am-4:00 pm
Affiliated Group(s): Jean
Jacques Abitbol Md Dba
California Spine Grp
Board Certified: No
Physician's Language(s):
French
Chadha, Harbinder S MD
Orthopaedic Surgery
NPI: 1659313849
License: G84284
License Type: Specialist
955 Lane Ave Ste 200
Chula Vista, CA 91914
(619) 421-3400
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Downing, Kristopher L MD
Orthopaedic Surgery
NPI: 1851451439
License: A106278
License Type: Specialist
955 Lane Ave Ste 200
Chula Vista, CA 91914
(619) 421-3400
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Orthopaedic Surgery
NPI: 1699711846
License: G61864
License Type: Specialist
955 Lane Ave Ste 200
Chula Vista, CA 91914
(619) 421-3400
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Rosenfield, Alan Lyle MD
Orthopaedic Surgery
Gender: Male
NPI: 1588648968
License: G75293
License Type: Specialist
480 4th Ave Ste 501
Chula Vista, CA 91910
(619) 425-9510
Affiliated Group(s): Girard
Orthopaedic Surgeons Medical
Group Inc
Board Certified: No
Selecky, Mark T MD
Orthopaedic Surgery
NPI: 1669414850
License: G78136
License Type: Specialist
955 Lane Ave Ste 200
Chula Vista, CA 91914
(619) 421-3400
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Orthopaedic Surgery
CORONADO
Allsing, Steven R MD
Orthopaedic Surgery
Gender: Male
NPI: 1538274709
License: G84903
License Type: Specialist
250 Prospect Pl
Coronado, CA 92118
(619) 435-6251
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Steve R
Allsing Md Inc
Board Certified: Yes
Accessibility: Limited, IB, P
Pallia, Chris S MD
Orthopaedic Surgery
NPI: 1497751457
License: A74481
License Type: Specialist
230 Prospect Pl Ste 230
Coronado, CA 92118
(619) 435-7282
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
FALLBROOK
Brooks, Harry W MD
Orthopaedic Surgery
Gender: Male
NPI: 1255377602
License: G38991
License Type: Specialist
521 E Elder St Ste 105
Fallbrook, CA 92028
(760) 728-5851
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
LA JOLLA
Dreeben, Sharon M MD
Orthopaedic Surgery
NPI: 1457387250
License: G67534
License Type: Specialist
9850 Genesee Ave Ste 150
La Jolla, CA 92037
(858) 625-7979
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
112
Specialty Care Providers
Orthopaedic Surgery
Gabriel, Rodney A MD
Orthopaedic Surgery
Gender: Male
NPI: 1073879847
License: A56204
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kane, Norman MD
Orthopaedic Surgery
Gender: Male
NPI: 1588625982
License: A33041
License Type: Specialist
9835 Geneese Ave Ste 228
La Jolla, CA 92037
(858) 455-9942
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Pourtaheri, Sina MD
Orthopaedic Surgery
Gender: Male
NPI: 1306153572
License: A136713
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Serocki, John H MD
Orthopaedic Surgery
NPI: 1679574743
License: G58911
License Type: Specialist
9834 Genesee Ave Ste 228
La Jolla, CA 92037
(858) 824-1703
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
LA MESA
Allsing, Steven R MD
Orthopaedic Surgery
Gender: Male
NPI: 1538274709
License: G84903
License Type: Specialist
5555 Grossmont Center Dr
La Mesa, CA 91942
(619) 644-3030
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Steve R
Allsing Md Inc
Board Certified: Yes
Accessibility: Limited, R, E
Allsing, Steven R MD
Orthopaedic Surgery
Gender: Male
NPI: 1538274709
License: G84903
License Type: Specialist
5565 Grossmont Center Dr Ste
1 112
La Mesa, CA 91942
(619) 465-0083
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Steve R
Allsing Md Inc
Board Certified: Yes
NATIONAL CITY
Boffman Jr, Harry R MD
Orthopaedic Surgery
Gender: Male
NPI: 1437181989
License: G25822
License Type: Specialist
655 Euclid Ave Ste 301
National City, CA 91950
(619) 267-3020
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Harry R
Boffman Jr Md
Board Certified: No
SAN DIEGO
Abitbol, Jean Jacques MD
Orthopaedic Surgery
Gender: Male
NPI: 1245281856
License: G55587
License Type: Specialist
7625 Mesa College Dr Ste 310
San Diego, CA 92111
(858) 874-2306
Mon-Thu 8:30 am-4:30 pm, Fri
8:30 am-4:00 pm
Affiliated Group(s): Jean
Jacques Abitbol Md Dba
California Spine Grp
Board Certified: No
Physician's Language(s):
French
Abrams, Reid A MD
Orthopaedic Surgery
Gender: Male
NPI: 1548202245
License: G59829
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ahmed, Sonya S MD
Orthopaedic Surgery
Gender: Female
NPI: 1477757060
License: A115923
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Allen, Richard T MD
Orthopaedic Surgery
Gender: Male
NPI: 1962660175
License: A83513
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Orthopaedic Surgery
Ball, Scott T MD
Orthopaedic Surgery
Gender: Male
NPI: 1952325318
License: A75221
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bezrukov, Nikita MD
Orthopaedic Surgery
Gender: Male
NPI: 1770737017
License: A111624
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bowman, William E MD
Orthopaedic Surgery
Gender: Male
NPI: 1831276690
License: C34592
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Chen, Jeffrey MD
Orthopaedic Surgery
Gender: Male
NPI: 1811183700
License: A102762
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
113
Specialty Care Providers
Orthopaedic Surgery
Covey, Dana MD
Orthopaedic Surgery
Gender: Male
NPI: 1780651794
License: G89432
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Craft, Timothy P MD
Orthopaedic Surgery
Gender: Male
NPI: 1952543423
License: A126162
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
David, Tal MD
Orthopaedic Surgery
NPI: 1629092473
License: A69504
License Type: Specialist
3444 Kearny Villa Rd Ste 401
San Diego, CA 92123
(858) 571-9500
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
David, Tal MD
Orthopaedic Surgery
NPI: 1629092473
License: A69504
License Type: Specialist
4910 Directors Pl Ste 350
San Diego, CA 92121
(858) 571-9500
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Foerster, Bruce V MD
Orthopaedic Surgery
Gender: Male
NPI: 1467593335
License: G66154
License Type: Specialist
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 825-6325
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Bruce V
Foerster Md
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Garfin, Steven MD
Jain, Rina MD
Orthopaedic Surgery
Gender: Male
NPI: 1679515829
License: G29309
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Girard, Paul J MD
Orthopaedic Surgery
Gender: Male
NPI: 1356319891
License: A78346
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s):
Grossmont Hospital, Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hentzen, Eric R MD
Orthopaedic Surgery
Gender: Male
NPI: 1245411180
License: A83117
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, German
Jain, Rina MD
Orthopaedic Surgery
Gender: Female
NPI: 1861495756
License: A81238
License Type: Specialist
3750 Convoy St Ste 201
San Diego, CA 92111
(858) 278-8300
Mon-Fri 8:30am-5:00pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Orthopedic
Medical Group Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Orthopaedic Surgery
Gender: Female
NPI: 1861495756
License: A81238
License Type: Specialist
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Orthopedic
Medical Group Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
Kent, William T MD
Orthopaedic Surgery
Gender: Male
NPI: 1962794198
License: A122546
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kulidjian, Anna A MD
Orthopaedic Surgery
Gender: Female
NPI: 1215183066
License: A97060
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
La Londe, Francois D MD
Orthopaedic Surgery
Gender: Male
NPI: 1144266081
License: A62102
License Type: Specialist
3030 Childrens Way Ste 410
San Diego, CA 92123
(858) 966-6789
Affiliated Group(s): Monarch
Health Plan Inc
Board Certified: No
Orthopaedic Surgery
Levinsohn, David MD
Orthopaedic Surgery
NPI: 1174532121
License: A67296
License Type: Specialist
7910 Frost St Ste 340
San Diego, CA 92123
(858) 277-2448
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Meunier, Matthew J MD
Orthopaedic Surgery
Gender: Male
NPI: 1265470553
License: A72975
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Myer, Jonathan J MD
Orthopaedic Surgery
Gender: Male
NPI: 1982607867
License: A83316
License Type: Specialist
4910 Directors Pl Ste 350
San Diego, CA 92121
(858) 571-9500
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center, Synergy
Specialists Medical Group
Board Certified: Yes
Myer, Jonathan J MD
Orthopaedic Surgery
Gender: Male
NPI: 1982607867
License: A83316
License Type: Specialist
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center, Synergy
Specialists Medical Group
Board Certified: Yes
Accessibility: Limited, P, E
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
114
Specialty Care Providers
Otolaryngology
Page, Alexandra E MD
Orthopaedic Surgery
NPI: 1275681157
License: G84448
License Type: Specialist
3750 Convoy St Ste 116
San Diego, CA 92111
(858) 292-1433
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center
Board Certified: Yes
Pallia, Chris S MD
Orthopaedic Surgery
NPI: 1497751457
License: A74481
License Type: Specialist
3444 Kearny Villa Rd Ste 402
San Diego, CA 92123
(858) 292-1186
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Pourtaheri, Sina MD
Orthopaedic Surgery
Gender: Male
NPI: 1306153572
License: A136713
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Robertson, Catherine M MD
Orthopaedic Surgery
Gender: Female
NPI: 1952565780
License: A87544
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Rudolph, Charles N MD
Tasto, James P MD
Orthopaedic Surgery
Gender: Male
NPI: 1386636348
License: G60659
License Type: Specialist
4510 Executive Dr Ste 125
San Diego, CA 92121
(858) 678-0455
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Bone
Builders Medical Clinic Pc
Board Certified: No
Sechriest, Vernon F MD
Orthopaedic Surgery
Gender: Male
NPI: 1285770487
License: A88501
License Type: Specialist
3750 Convoy St Ste 201
San Diego, CA 92111
(858) 278-8300
Affiliated Group(s): Orthopedic
Medical Group Of San Diego
Inc
Board Certified: No
Sirota, Michael A MD
Orthopaedic Surgery
Gender: Male
NPI: 1558542423
License: A129445
License Type: Specialist
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center
Board Certified: No
Accessibility: Limited, P, E
Tannous, Oliver O MD
Orthopaedic Surgery
Gender: Male
NPI: 1285952655
License: A134817
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Orthopaedic Surgery
Gender: Male
NPI: 1124021936
License: G14672
License Type: Specialist
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center
Board Certified: Yes
Accessibility: Limited, P, E
Zlomislic, Vinko MD
Orthopaedic Surgery
Gender: Male
NPI: 1346351509
License: A112819
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Croatian
Otolaryngology
Chang, Angela A MD
Otolaryngology
Gender: Female
NPI: 1730382318
License: A100380
License Type: Specialist
2390 Faraday Ave
Carlsbad, CA 92008
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Mehta, Ritvik P MD
Otolaryngology
Gender: Male
NPI: 1245393586
License: A93336
License Type: Specialist
2390 Faraday Ave
Carlsbad, CA 92008
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Physician's Language(s):
Gujarati, Hindi, Sindi
CHULA VISTA
Busino, Rowley S MD
Otolaryngology
Gender: Female
OTOLARYNGOLOGY NPI: 1396997664
License: A112508
BORREGO SPRINGS
License Type: Specialist
Bock, Bruce D MD
752 Medical Center Ct Ste 101
Otolaryngology
Chula Vista, CA 91911
Gender: Male
(619) 482-0565
NPI: 1174583967
Mon-Fri 9:00am-5:00pm
License: G50915
Affiliated Group(s): Vantage
License Type: Specialist
Medical Group
4343 Yaqui Pass Rd
Board Certified: Yes
Borrego Springs, CA 92004
(760) 767-5051
Moles, Jeremiah J MD
Mon-Fri 8:30 am-5:30 pm
Otolaryngology
Affiliated Group(s): Borrego
Gender: Male
Community Health Foundation NPI: 1003067745
Board Certified: Yes
License: A112009
License Type: Specialist
CARLSBAD
752 Medical Center Ct Ste 101
Calzada, Audrey P MD
Chula Vista, CA 91911
Otolaryngology
(619) 482-0565
Gender: Female
Mon-Fri 9:00am-5:00pm
NPI: 1619113230
Affiliated Group(s): Ear Nose &
License: A107965
Throat Assoc Of San Diego A
License Type: Specialist
Medical Corp
2390 Faraday Ave
Board Certified: Yes
Carlsbad, CA 92008
Physician's Language(s):
(858) 909-0770
Spanish
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
115
Specialty Care Providers
Otolaryngology
Rensink, Michael J MD
Otolaryngology
Gender: Male
NPI: 1629001177
License: G20200
License Type: Specialist
752 Medical Center Ct Ste 101
Chula Vista, CA 91911
(619) 482-0565
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Chula Vista Medical Center
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp
Board Certified: No
Physician's Language(s):
Spanish
LA JOLLA
Califano Iii, Joseph A MD
Otolaryngology
Gender: Male
NPI: 1881652972
License: A138926
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6197
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group, Ucsd
Otolaryngology
Board Certified: No
Calzada, Audrey P MD
Otolaryngology
Gender: Female
NPI: 1619113230
License: A107965
License Type: Specialist
9834 Genesee Ave Ste 111
La Jolla, CA 92037
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Chang, Angela A MD
Otolaryngology
Gender: Female
NPI: 1730382318
License: A100380
License Type: Specialist
9834 Genesee Ave Ste 111
La Jolla, CA 92037
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Deconde, Adam MD
Reuther, Marsha S MD
Otolaryngology
Gender: Male
NPI: 1588988919
License: A110107
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-8590
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
Gilani, Sapideh MD
Otolaryngology
Gender: Female
NPI: 1003825571
License: A80720
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8590
Affiliated Group(s): Ucsd
Medical Group, Ucsd
Otolaryngology
Board Certified: No
Leach, Matthew MD
Otolaryngology
Gender: Male
NPI: 1508151580
License: A141821
License Type: Specialist
9834 Genesee Ave Ste 111
La Jolla, CA 92037
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Mehta, Ritvik P MD
Otolaryngology
Gender: Male
NPI: 1245393586
License: A93336
License Type: Specialist
9834 Genesee Ave Ste 111
La Jolla, CA 92037
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Physician's Language(s):
Gujarati, Hindi, Sindi
Otolaryngology
Gender: Female
NPI: 1972752202
License: A110235
License Type: Specialist
9834 Genesee Ave Ste 111
La Jolla, CA 92037
(858) 909-0770
Affiliated Group(s): Ritvik P
Mehta Md A Professional
Corporation
Board Certified: No
Weisman, Robert A MD
Otolaryngology
Gender: Male
NPI: 1346293958
License: G28603
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-8590
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
Weissbrod, Philip A MD
Otolaryngology
Gender: Male
NPI: 1366590853
License: MD60145048
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-8590
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
Woo, Linda N MD
Otolaryngology
Gender: Female
NPI: 1467720656
License: A121814
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-8590
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: Yes
Otolaryngology
Woo, Linda N MD
Otolaryngology
Gender: Female
NPI: 1467720656
License: A121814
License Type: Specialist
9350 Campus Point Dr - Lla
La Jolla, CA 92037
(858) 657-8590
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: Yes
LA MESA
Amsberry, James K MD
Otolaryngology
Gender: Male
NPI: 1689736522
License: G72491
License Type: Specialist
5565 Grossmont Center Dr
Bldg 3 Ste 101
La Mesa, CA 91942
(619) 464-3353
Mon-Fri 8:30am-4:30pm
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp
Board Certified: No
Busino, Rowley S MD
Otolaryngology
Gender: Female
NPI: 1396997664
License: A112508
License Type: Specialist
5565 Grossmont Center Dr Ste
101
La Mesa, CA 91942
(619) 464-3353
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Liu, Richard M MD
Otolaryngology
Gender: Male
NPI: 1548286453
License: C134084
License Type: Specialist
5565 Grossmont Center Dr
La Mesa, CA 91942
(619) 464-3353
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Mandarin
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
116
Specialty Care Providers
Otolaryngology
Mccallion, Patrick G MD
Otolaryngology
Gender: Male
NPI: 1134144454
License: G64989
License Type: Specialist
5565 Grossmont Center Dr
Bldg 3 Ste 101
La Mesa, CA 91942
(619) 464-3353
Mon-Fri 8:30am-4:30pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp
Board Certified: Yes
Physician's Language(s):
Spanish
Moles, Jeremiah J MD
Otolaryngology
Gender: Male
NPI: 1003067745
License: A112009
License Type: Specialist
5565 Grossmont Center Dr Ste
101
La Mesa, CA 91942
(619) 464-3353
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp
Board Certified: Yes
Physician's Language(s):
Spanish
Paul, Supriti MD
Otolaryngology
Gender: Female
NPI: 1316063936
License: A120434
License Type: Specialist
5565 Grossmont Center Dr
Bldg 3 Ste 101
La Mesa, CA 91942
(619) 464-3353
Mon-Fri 8:30am-4:30pm
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Pitzer, Geoffrey MD
NATIONAL CITY
Otolaryngology
Mc Clain Jr, Albert A MD
Gender: Male
Otolaryngology
NPI: 1770673238
Gender: Male
License: A125888
NPI: 1811006786
License Type: Specialist
License: G71625
5565 Grossmont Center Dr
License Type: Specialist
Bldg 3 Ste 101
655 Euclid Ave Ste 401
La Mesa, CA 91942
National City, CA 91950
(619) 464-3353
(619) 267-8440
Mon-Fri 8:30am-4:30pm
Affiliated Hospital(s): Sharp
Affiliated Group(s): Ear Nose & Chula Vista Medical Center
Throat Assoc Of San Diego A
Affiliated Group(s): Albert A
Medical Corp, Vantage Medical Mcclain Jr Md Inc
Group
Board Certified: Yes
Board Certified: No
Physician's Language(s):
Physician's Language(s):
Spanish, Tagalog
Spanish, Arabic
Accessibility: Limited, P
Schalch, Paul MD
Otolaryngology
Gender: Male
NPI: 1558550053
License: A92839
License Type: Specialist
5565 Grossmont Center Dr Ste
101
La Mesa, CA 91942
(619) 464-3353
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp
Board Certified: No
Physician's Language(s): Arabic
Taylor, John H MD
Otolaryngology
Gender: Male
NPI: 1659396976
License: C39562
License Type: Specialist
5565 Grossmont Center Dr
Bldg 3 Ste 101
La Mesa, CA 91942
(619) 464-3353
Mon-Fri 8:30am-4:30pm
Affiliated Group(s): Ear Nose &
Throat Assoc Of San Diego A
Medical Corp
Board Certified: Yes
Physician's Language(s):
Spanish
OCEANSIDE
Reisman, Bruce K MD
Otolaryngology
Gender: Male
NPI: 1699785014
License: G59056
License Type: Specialist
3907 Waring Rd Ste 1
Oceanside, CA 92056
(760) 724-8749
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
SAN DIEGO
Alexander, Thomas H MD
Otolaryngology
Gender: Male
NPI: 1275696080
License: A90629
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
Azer, Philip MD
Otolaryngology
Gender: Male
NPI: 1871589408
License: G13273
License Type: Specialist
3660 Clairemont Dr Ste 2
San Diego, CA 92117
(858) 270-8151
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Philip Azer
Md Apc
Board Certified: No
Otolaryngology
Busino, Rowley S MD
Otolaryngology
Gender: Female
NPI: 1396997664
License: A112508
License Type: Specialist
3030 Childrens Way Ste 402
San Diego, CA 92123
(858) 309-7701
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Califano Iii, Joseph A MD
Otolaryngology
Gender: Male
NPI: 1881652972
License: A138926
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-0656
Affiliated Group(s): Ucsd
Medical Group, Ucsd
Otolaryngology
Board Certified: No
Coffey, Charles Stuart MD
Otolaryngology
Gender: Male
NPI: 1932297330
License: A116621
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group, Ucsd
Otolaryngology
Board Certified: No
Haft, Sunny J MD
Otolaryngology
Gender: Male
NPI: 1962817098
License: A140155
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
117
Specialty Care Providers
Pain Medicine
Hecht, Avram S MD
Otolaryngology
Gender: Male
NPI: 1821348384
License: A131184
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Hobson, Candace E MD
Otolaryngology
Gender: Female
NPI: 1821319963
License: A136825
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6631
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
Nguyen, Quyen T MD
Otolaryngology
Gender: Female
NPI: 1477524452
License: A78948
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Otolaryngology
Board Certified: No
PAIN MEDICINE
CHULA VISTA
Fisher, Casey MD
Pain Medicine
Gender: Male
NPI: 1275780686
License: A118592
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Navarro, Rosa M MD
Verdolin, Michael H MD
Pain Medicine
Gender: Female
NPI: 1083691802
License: C53858
License Type: Specialist
2452 Fenton St Ste C101
Chula Vista, CA 91914
(619) 600-5309
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Navarro
Pain Control Grp Inc
Board Certified: No
Physician's Language(s):
Spanish
Qian, John Xiao-jiang MD
Pain Medicine
Gender: Male
NPI: 1649290891
License: A72430
License Type: Specialist
374 H St Ste 202
Chula Vista, CA 91910
(619) 427-9627
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): John Qian
Md Inc
Board Certified: Yes
Physician's Language(s):
Spanish
Verdolin, Michael H MD
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
374 H St Ste 201
Chula Vista, CA 91910
(619) 625-1144
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
CORONADO
Verdolin, Michael H MD
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
230 Prospect Pl Ste 340 B
Coronado, CA 92118
(619) 761-5308
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
FALLBROOK
Fisher, Casey MD
Pain Medicine
Gender: Male
NPI: 1275780686
License: A118592
License Type: Specialist
577 E Elder St Ste K
Fallbrook, CA 92028
(951) 734-7246
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Pain Medicine
LA MESA
Verdolin, Michael H MD
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
7051 Alvarado Rd
La Mesa, CA 91942
(619) 625-1144
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
Verdolin, Michael H MD
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
8851 Center Dr Ste 608a
La Mesa, CA 91942
(619) 761-5308
Mon-Wed 9:00 am-5:00 pm, Fri
9:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
118
Specialty Care Providers
Pain Medicine
NATIONAL CITY
Verdolin, Michael H MD
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
222 E Plaza Blvd
National City, CA 91950
(619) 625-1144
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
POWAY
Fisher, Casey MD
Pain Medicine
Gender: Male
NPI: 1275780686
License: A118592
License Type: Specialist
15525 Pomerado Rd Ste E1
Poway, CA 92064
(858) 432-7880
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Fisher, Casey MD
Pain Medicine
Gender: Male
NPI: 1275780686
License: A118592
License Type: Specialist
15725 Pomerado Rd Ste 210
Poway, CA 92064
(858) 432-7880
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Khalid, Shafi M MD
Fairbanks, Kristin MD
Pain Medicine
Gender: Male
NPI: 1750343760
License: C51093
License Type: Specialist
15725 Pomerado Rd Ste 105
Poway, CA 92064
(858) 485-7246
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): San Diego
Pain Consultants, Shafi Khalid
Md Pc
Board Certified: No
Physician's Language(s):
Bengali
Verdolin, Michael H MD
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
15525 Pomerado Rd Ste E1
Poway, CA 92064
(858) 485-7870
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
SAN DIEGO
Abdulhadi, Hussein M MD
Pain Medicine
Gender: Male
NPI: 1629004890
License: A61032
License Type: Specialist
6645 Alvarado Rd Ste 253
San Diego, CA 92120
(619) 326-0326
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Hussein M
Abdulhadi Md
Board Certified: Yes
Physician's Language(s): Arabic
Accessibility: Limited, P
Pain Medicine
Gender: Female
NPI: 1922297944
License: A90297
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fisher, Casey MD
Pain Medicine
Gender: Male
NPI: 1275780686
License: A118592
License Type: Specialist
6010 Hidden Valley Rd Ste 110
San Diego, CA 92011
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Fisher, Casey MD
Pain Medicine
Gender: Male
NPI: 1275780686
License: A118592
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Kormylo, Nicholas J MD
Pain Medicine
Gender: Male
NPI: 1346282456
License: A77496
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pain Medicine
Leung, Albert Y MD
Pain Medicine
Gender: Male
NPI: 1669491403
License: G80220
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Navarro, Rosa M MD
Pain Medicine
Gender: Female
NPI: 1083691802
License: C53858
License Type: Specialist
3811 El Cajon Blvd
San Diego, CA 92105
(619) 600-5309
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Navarro
Pain Control Grp Inc
Board Certified: No
Physician's Language(s):
Spanish
Pal, Joshua S MD
Pain Medicine
Gender: Male
NPI: 1558520874
License: A104765
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Qian, John Xiao-jiang MD
Pain Medicine
Gender: Male
NPI: 1649290891
License: A72430
License Type: Specialist
5395 Ruffin Rd Ste 204
San Diego, CA 92123
(858) 571-3630
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): John Qian
Md Inc
Board Certified: Yes
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
119
Specialty Care Providers
San Diego County
Pain Medicine, Anesthesiology IN ALPHABETICAL ORDER BY SPECIALTY AND CITY Pain Medicine, Anesthesiology
Steiner, Alicja S MD
Verdolin, Michael H MD
Vannoord, Brandon A MD
PAIN MEDICINE,
Pain Medicine
Gender: Female
NPI: 1851309314
License: A69227
License Type: Specialist
2020 Camino Del Rio N Ste 210
San Diego, CA 92108
(619) 948-8464
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Alicja S
Steiner Md Inc
Board Certified: No
Physician's Language(s): Polish,
Russian
Steiner, Alicja S MD
Pain Medicine
Gender: Female
NPI: 1851309314
License: A69227
License Type: Specialist
2100 5th Ave Ste 200
San Diego, CA 92101
(619) 948-8464
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Alicja S
Steiner Md Inc
Board Certified: No
Physician's Language(s): Polish,
Russian
Strauser, Walter W MD
Pain Medicine
Gender: Male
NPI: 1518957521
License: G56903
License Type: Specialist
2999 Health Center Dr
San Diego, CA 92123
(858) 939-4489
Affiliated Group(s): Walter W
Strauser Md Inc
Board Certified: No
Verdolin, Michael H MD
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
6010 Hidden Valley Rd Ste 110
San Diego, CA 92011
(619) 761-5308
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
Pain Medicine
Gender: Male
NPI: 1477525657
License: A92149
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center
Affiliated Group(s): Algos Inc
Dba Pasadena Rehabilitation
Institute, Pain Consultants Of
San Diego, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Italian
Wallace, Mark S MD
Pain Medicine
Gender: Male
NPI: 1427098102
License: G72906
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Wynn, Brenton D MD
Pain Medicine
Gender: Male
NPI: 1528069820
License: A73257
License Type: Specialist
6280 Jackson Dr Ste 8
San Diego, CA 92119
(619) 713-0434
Affiliated Group(s): Center For
Family Health
Board Certified: No
ANESTHESIOLOGY
CHULA VISTA
Hickey, Anita MD
Pain Medicine, Anesthesiology
Gender: Female
NPI: 1811969686
License: G65108
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Vannoord, Brandon A MD
Pain Medicine, Anesthesiology
Gender: Male
NPI: 1558407510
License: A113568
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
POWAY
Hickey, Anita MD
Pain Medicine, Anesthesiology
Gender: Female
NPI: 1811969686
License: G65108
License Type: Specialist
15725 Pomerado Rd Ste 210
Poway, CA 92064
(858) 432-7880
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Pain Medicine, Anesthesiology
Gender: Male
NPI: 1558407510
License: A113568
License Type: Specialist
15725 Pomerado Rd Ste 210
Poway, CA 92064
(858) 432-7880
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
SAN DIEGO
Hickey, Anita MD
Pain Medicine, Anesthesiology
Gender: Female
NPI: 1811969686
License: G65108
License Type: Specialist
6010 Hidden Valley Rd Ste 110
San Diego, CA 92011
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Hickey, Anita MD
Pain Medicine, Anesthesiology
Gender: Female
NPI: 1811969686
License: G65108
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Polston, Gregory R MD
Pain Medicine, Anesthesiology
Gender: Male
NPI: 1891719233
License: G70548
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-5720
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
120
Specialty Care Providers
San Diego County
Pediatric Cardiology
Vannoord, Brandon A MD
Pain Medicine, Anesthesiology
Gender: Male
NPI: 1558407510
License: A113568
License Type: Specialist
6010 Hidden Valley Rd Ste 110
San Diego, CA 92011
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Vannoord, Brandon A MD
Pain Medicine, Anesthesiology
Gender: Male
NPI: 1558407510
License: A113568
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
PEDIATRIC
CARDIOLOGY
CHULA VISTA
Hegde, Sanjeet MD
Pediatric Cardiology
Gender: Male
NPI: 1306036884
License: A112326
License Type: Specialist
765 Medical Center Ct
Chula Vista, CA 91911
(619) 397-6577
Affiliated Group(s): San Diego
Imaging Kearny Mesa, San
Diego Imaging Chula Vista,
San Diego Imaging Medical
Grpp
Board Certified: No
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
Spector, Stephen A MD
SAN DIEGO
Pediatric Infectious Diseases
Hegde, Sanjeet MD
Gender:
Male
Pediatric Cardiology
NPI: 1790857316
Gender: Male
License: G32467
NPI: 1306036884
License Type: Specialist
License: A112326
8110 Birmingham Way 1st Fl
License Type: Specialist
San Diego, CA 92123
7910 Frost St Ste 100
(858) 966-7785
San Diego, CA 92123
Affiliated Group(s): Ucsd
(858) 634-5900
Medical Group
Affiliated Group(s): San Diego
Board Certified: No
Imaging Kearny Mesa, San
Diego Imaging Chula Vista,
PEDIATRIC
San Diego Imaging Medical
NEUROLOGY
Grpp
CHULA VISTA
Board Certified: No
Accessibility: Limited, P, E
Tiznado Garcia, Ernesto MD
PEDIATRIC
INFECTIOUS DISEASES
SAN DIEGO
Spector, Stephen A MD
Pediatric Infectious Diseases
Gender: Male
NPI: 1790857316
License: G32467
License Type: Specialist
3020 Childrens Way
San Diego, CA 92123
(858) 966-7785
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Spector, Stephen A MD
Pediatric Infectious Diseases
Gender: Male
NPI: 1790857316
License: G32467
License Type: Specialist
330 Lewis St
San Diego, CA 92103
(619) 471-9260
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Spector, Stephen A MD
Pediatric Infectious Diseases
Gender: Male
NPI: 1790857316
License: G32467
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pediatric Neurology
Gender: Male
NPI: 1568495703
License: A45183
License Type: Specialist
1635 3rd Ave
Chula Vista, CA 91911
(619) 425-8901
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Clinicas De
Salud Del Pueblo Inc, Ernesto
Tiznado-garcia Md
Board Certified: Yes
PEDIATRIC
OTOLARYNGOLOGY
SAN DIEGO
Bothwell, Marcella R MD
Pediatric Otolaryngology
Gender: Female
NPI: 1962459982
License: G87904
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physical Medicine &
Rehabilitation
PHYSICAL MEDICINE &
REHABILITATION
CARLSBAD
Lutfy, Patricia M MD
Physical Medicine &
Rehabilitation
Gender: Female
NPI: 1497024061
License: A133725
License Type: Specialist
6010 Hidden Valley Rd Ste 110
Carlsbad, CA 92011
(760) 607-5350
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
CHULA VISTA
Bullock, Andrew C DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1295743045
License: 20A6842
License Type: Specialist
251 Landis Ave Ste 201
Chula Vista, CA 91910
(619) 379-6579
Mon-Fri 8:00 am-6:00 pm, Sat
8:00 am-3:00 pm
Affiliated Group(s): Andrew
Bullock Do
Board Certified: Yes
Physician's Language(s):
Spanish, Farsi
Lao, Jesus H MD
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1275571010
License: A72729
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Palomar
Medical Center, Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
121
Specialty Care Providers
Physical Medicine &
Rehabilitation
Lutfy, Patricia M MD
Physical Medicine &
Rehabilitation
Gender: Female
NPI: 1497024061
License: A133725
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Mignosa, Roger DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1255627691
License: 20A12464
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Minkoff, Evan DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1831150739
License Type: Specialist
891 Kuhn Dr Ste 106
Chula Vista, CA 91914
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Algos Inc Dba
Pasadena Rehabilitation
Institute
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
Minkoff, Evan DO
LA MESA
Physical Medicine &
Hon, Roxanne A MD
Physical Medicine &
Rehabilitation
Gender: Female
NPI: 1336149616
License: A56292
License Type: Specialist
8030 La Mesa Blvd Ste 143
La Mesa, CA 91942
(619) 697-7900
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Roxanne
Audrey Hon Md Inc Apc
Board Certified: Yes
POWAY
Bullock, Andrew C DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1295743045
License: 20A6842
License Type: Specialist
15644 Pomerado Rd Ste 204
Poway, CA 92064
(619) 379-6579
Mon-Fri 8:00 am-6:00 pm, Sat
8:00 am-3:00 pm
Affiliated Group(s): Andrew
Bullock Do
Board Certified: Yes
Physician's Language(s):
Spanish, Farsi
Mignosa, Roger DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1255627691
License: 20A12464
License Type: Specialist
15725 Pomerado Rd Ste 210
Poway, CA 92064
(858) 432-7880
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Rehabilitation
Gender: Male
NPI: 1831150739
License Type: Specialist
15525 Pomerado Rd Ste E1
Poway, CA 92064
(858) 485-7870
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Algos Inc Dba
Pasadena Rehabilitation
Institute
Board Certified: No
Minkoff, Evan DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1831150739
License Type: Specialist
15725 Pomerado Rd Ste 210
Poway, CA 92064
(858) 432-7880
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Algos Inc Dba
Pasadena Rehabilitation
Institute
Board Certified: No
SAN DIEGO
Arcilla, Gerard C MD
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1356370746
License: A48300
License Type: Specialist
6645 Alvarado Rd Ste 253
San Diego, CA 92120
(619) 326-0326
Affiliated Group(s): Gerard C
Arcilla Md
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Accessibility: Limited, P
Physical Medicine &
Rehabilitation
Bullock, Andrew C DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1295743045
License: 20A6842
License Type: Specialist
1855 1st Ave Ste 200
San Diego, CA 92101
(619) 379-6579
Mon-Fri 8:00 am-6:00 pm, Sat
8:00 am-3:00 pm
Affiliated Group(s): Andrew
Bullock Do
Board Certified: Yes
Physician's Language(s):
Spanish, Farsi
Chang, Douglas G MD
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1962450031
License: G36764
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
German
Eastman, Amelia S DO
Physical Medicine &
Rehabilitation
Gender: Female
NPI: 1336393990
License: 20A11643
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7777
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
122
Specialty Care Providers
Physical Therapist
Lao, Jesus H MD
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1275571010
License: A72729
License Type: Specialist
6010 Hidden Valley Rd Ste 110
San Diego, CA 92011
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Palomar
Medical Center, Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Lao, Jesus H MD
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1275571010
License: A72729
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Palomar
Medical Center, Tri City
Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Lutfy, Patricia M MD
Physical Medicine &
Rehabilitation
Gender: Female
NPI: 1497024061
License: A133725
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mignosa, Roger DO
Smith, David J MD
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1255627691
License: 20A12464
License Type: Specialist
6010 Hidden Valley Rd Ste 110
San Diego, CA 92011
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Mignosa, Roger DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1255627691
License: 20A12464
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Minkoff, Evan DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1831150739
License Type: Specialist
6010 Hidden Valley Rd Ste 110
San Diego, CA 92011
(619) 761-5308
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Algos Inc Dba
Pasadena Rehabilitation
Institute
Board Certified: No
Minkoff, Evan DO
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1831150739
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group, Algos Inc Dba
Pasadena Rehabilitation
Institute
Board Certified: No
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1811930357
License: G66777
License Type: Specialist
3703 Camino Del Rio South Ste
210
San Diego, CA 92108
(619) 640-5555
Mon-Fri 8:30am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): San Diego
Comprehensive Pain
Management Center Inc
Board Certified: No
Physician's Language(s):
Spanish
Vitale, Kenneth C MD
Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1730176868
License: C132964
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(858) 657-8200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
PHYSICAL THERAPIST
CARLSBAD
Adkins, William H PT
Physical Therapist
Gender: Male
NPI: 1306063458
License: PT27416
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 434-6100
Mon 7:00 am-7:00 pm, Tue 7:00
am-5:00 pm, Wed 7:00 am-7:00
pm, Thu 7:00 am-5:00 pm, Fri
7:00 am-7:00 pm
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, E
Physical Therapist
Boutelle, Barbara J PT
Physical Therapist
Gender: Female
NPI: 1437107711
License: PT12716
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
Boutelle, David C PT
Physical Therapist
Gender: Male
NPI: 1063461101
License: PT12422
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 434-6100
Mon 7:00 am-7:00 pm, Tue 7:00
am-5:00 pm, Wed 7:00 am-7:00
pm, Thu 7:00 am-5:00 pm, Fri
7:00 am-7:00 pm
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
Chon, Michael PT
Physical Therapist
Gender: Male
NPI: 1164530697
License: PT27683
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Accessibility: Limited, E
Daher, Nicole M PT
Physical Therapist
Gender: Female
NPI: 1790155844
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
123
Specialty Care Providers
Physical Therapist
Gebhardt, Felice A PT
Physical Therapist
Gender: Female
NPI: 1437514452
License: PT38267
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
Jung, Calvin D PT
Physical Therapist
Gender: Male
NPI: 1972997690
License: PT42181
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
Luu, Jonathan V PT
Physical Therapist
Gender: Male
NPI: 1225584105
License: PT291881
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Martinelli, Sheri PT
Physical Therapist
Gender: Female
NPI: 1649229022
License: PT29772
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(858) 452-4324
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Accessibility: Limited, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Meister, Sarah V PT
Smith, Dennis R PT
Physical Therapist
Gender: Female
NPI: 1376091561
License: PT291898
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Morasco, Michael K PT
Physical Therapist
Gender: Male
NPI: 1386693612
License: PT11458
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
Rheaume, Alexander PT
Physical Therapist
Gender: Male
NPI: 1053659854
License: 39516
License Type: Specialist
2804 Roosevelt St
Carlsbad, CA 92008
(760) 730-9992
Mon-Thu 8:00 am-5:00 pm, Fri
7:00 am-5:00 pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Schafer, Amy L PT
Physical Therapist
Gender: Female
NPI: 1003202862
License: PT42087
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
Physical Therapist
Gender: Male
NPI: 1699724054
License: PT22171
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 591-7750
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
Umar, Selma PT
Physical Therapist
Gender: Female
NPI: 1942758297
License: PT291979
License Type: Specialist
3070 Madison St
Carlsbad, CA 92008
(760) 434-6100
Mon 7:00 am-7:00 pm, Tue 7:00
am-5:00 pm, Wed 7:00 am-7:00
pm, Thu 7:00 am-5:00 pm, Fri
7:00 am-7:00 pm
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Accessibility: Limited, E
CHULA VISTA
Adrian, Jennifer PT
Physical Therapist
Gender: Female
NPI: 1578813234
License Type: Specialist
1310 3rd Ave Ste A4
Chula Vista, CA 91911
(619) 579-1625
Affiliated Group(s): Nexus
Physical Therapy Inc
Board Certified: No
Burton, Rachel M PT
Physical Therapist
Gender: Female
NPI: 1700330453
License: PT291784
License Type: Specialist
1020 Tierra Del Rey Ste A1
Chula Vista, CA 91910
(619) 585-7104
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physical Therapist
Concors, Andrew L PT
Physical Therapist
Gender: Male
NPI: 1578706743
License: PT12930
License Type: Specialist
251 Landis Ave
Chula Vista, CA 91910
(619) 515-2500
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Gigliotti, Gina PT
Physical Therapist
Gender: Female
NPI: 1316299696
License: 39455
License Type: Specialist
1020 Tierra Del Rey Ste A1
Chula Vista, CA 91910
(619) 585-7104
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Grieger, Nancy N PT
Physical Therapist
Gender: Female
NPI: 1003956798
License: PT40167
License Type: Specialist
1020 Tierra Del Rey
Chula Vista, CA 91910
(619) 585-7104
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Jones, Sara PT
Physical Therapist
Gender: Female
NPI: 1790099356
License: 38288
License Type: Specialist
1020 Tierra Del Rey Ste A1
Chula Vista, CA 91910
(619) 585-7104
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
124
Specialty Care Providers
Physical Therapist
Lloyd, Christopher J PT
Physical Therapist
Gender: Male
NPI: 1205292356
License: PT43591
License Type: Specialist
1020 Tierra Del Rey Ste A1
Chula Vista, CA 91910
(619) 585-7104
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Tarsi, Lauren PT
Physical Therapist
Gender: Female
NPI: 1770951444
License: PT42832
License Type: Specialist
1020 Tierra Del Rey Ste A1
Chula Vista, CA 91910
(619) 585-7104
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
EL CAJON
Baker, Alison J PT
Physical Therapist
Gender: Female
NPI: 1497079198
License: PT36596
License Type: Specialist
1291 E Main St Ste 100
El Cajon, CA 92021
(619) 447-7774
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Baker, Alison J PT
Physical Therapist
Gender: Female
NPI: 1497079198
License: PT36596
License Type: Specialist
833 Broadway Ste 100
El Cajon, CA 92021
(619) 447-7774
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Brizendine, Kent PT
Palmer, Dana PT
Physical Therapist
Gender: Male
NPI: 1386786192
License: PT22612
License Type: Specialist
825 Jamacha Rd
El Cajon, CA 92019
(619) 579-1625
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Claudio, Candice A PT
Physical Therapist
Gender: Female
NPI: 1295066959
License: PT26793
License Type: Specialist
833 Broadway Ste 100
El Cajon, CA 92021
(619) 447-7774
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Delara, Nina Rosana J PT
Physical Therapist
Gender: Female
NPI: 1447548433
License: PT38016
License Type: Specialist
1291 E Main St Ste 100
El Cajon, CA 92021
(619) 447-7774
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Mccall, Matthew PT
Physical Therapist
NPI: 1861874422
License: PT42029
License Type: Specialist
1625 E Main St Ste 101
El Cajon, CA 92021
(619) 440-9444
Affiliated Group(s): Premier
Physical Therapy
Board Certified: No
Morris, Chad Reno PT
Physical Therapist
Gender: Male
NPI: 1841307063
License Type: Specialist
522 Jamacha Rd
El Cajon, CA 92019
(619) 579-1625
Affiliated Group(s): Nexus
Physical Therapy Inc
Board Certified: No
Physician's Language(s):
Spanish
Physical Therapist
Gender: Female
NPI: 1659553188
License Type: Specialist
860 Jamacha Rd Ste 203
El Cajon, CA 92019
(619) 573-6373
Affiliated Group(s): Mkc
Physical Therapy Inc Dba
Advanced Physiotherapy
Board Certified: No
ENCINITAS
Becherer, Kelley PT
Physical Therapist
Gender: Female
NPI: 1306219472
License: PT43240
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Botti, Timothy PT
Physical Therapist
Gender: Male
NPI: 1134514136
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Emmily Da Silva Camargo, Ivy
PT
Physical Therapist
Gender: Female
NPI: 1942645098
License: 40041
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Fletcher, Casey D PT
Physical Therapist
Gender: Female
NPI: 1548695919
License: 40298
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physical Therapist
Gigliotti, Gina PT
Physical Therapist
Gender: Female
NPI: 1316299696
License: 39455
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Hickey, Sean M PT
Physical Therapist
Gender: Male
NPI: 1598009680
License: 39392
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Jimenez, Monica C PT
Physical Therapist
Gender: Female
NPI: 1952446650
License: 33505
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Jones, Sara PT
Physical Therapist
Gender: Female
NPI: 1790099356
License: 38288
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Lloyd, Christopher J PT
Physical Therapist
Gender: Male
NPI: 1205292356
License: PT43591
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
125
Specialty Care Providers
Physical Therapist
Rheaume, Alexander PT
Physical Therapist
Gender: Male
NPI: 1053659854
License: 39516
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Rouillard, Norma K PT
Physical Therapist
Gender: Female
NPI: 1194727305
License: 29262
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Saunders Enright, Dawne L PT
Physical Therapist
Gender: Female
NPI: 1003879057
License: 28041
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physician's Language(s):
Spanish
Soltren, Justina PT
Physical Therapist
Gender: Female
NPI: 1194069278
License: 39537
License Type: Specialist
201 S El Camino Real Ste A
Encinitas, CA 92024
(760) 274-1671
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Souza, Jennifer PT
ESCONDIDO
Physical Therapist
Baker, Lisa J PT
Gender: Female
Physical Therapist
NPI: 1447215397
Gender: Female
License: 32643
NPI: 1346200045
License Type: Specialist
License: PT22824
201 S El Camino Real Ste A
License Type: Specialist
Encinitas, CA 92024
1815 E Valley Pkwy Ste 5
(760) 274-1671
Escondido, CA 92027
Affiliated Group(s): San Diego
(760) 233-9655
Spine And Sport Inc
Affiliated Group(s): Carlsbad
Board Certified: No
Physical Therapy
Board Certified: No
Spurrell, Kathryn C PT
Physician's Language(s):
Physical Therapist
Spanish
Gender: Female
NPI: 1134540586
Cullison, Kaleb B PT
License: PT40706
Physical Therapist
License Type: Specialist
Gender: Male
201 S El Camino Real Ste A
NPI: 1326306762
Encinitas, CA 92024
License: PT38863
(760) 274-1671
License Type: Specialist
Affiliated Group(s): San Diego
255 N Elm St Ste 202
Spine And Sport Inc
Escondido, CA 92025
Board Certified: No
(951) 504-0223
Affiliated Group(s): Rancho
Strem, Brendan S PT
Physical Therapy Inc, Vantage
Physical Therapist
Medical Group
Gender: Male
Board Certified: No
NPI: 1033498084
Physician's Language(s):
License Type: Specialist
Spanish
201 S El Camino Real Ste A
Encinitas, CA 92024
Harmon, Kevin PT
(760) 274-1671
Physical Therapist
Affiliated Group(s): San Diego
Gender: Male
Spine And Sport Inc
NPI: 1588062749
Board Certified: No
License: PT42064
License Type: Specialist
Tarsi, Lauren PT
255 N Elm St Ste 202
Physical Therapist
Escondido, CA 92025
Gender: Female
(951) 504-0223
NPI: 1770951444
Affiliated Group(s): Rancho
License: PT42832
Physical Therapy Inc
License Type: Specialist
Board Certified: No
201 S El Camino Real Ste A
Encinitas, CA 92024
King, Brandon M PT
(760) 274-1671
Physical Therapist
Affiliated Group(s): San Diego
NPI: 1023560968
Spine And Sport Inc, Vantage
License Type: Specialist
Medical Group
1815 E Valley Pkwy Ste 5
Board Certified: No
Escondido, CA 92027
(760) 233-9655
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Physical Therapist
Morasco, Michael K PT
Physical Therapist
Gender: Male
NPI: 1386693612
License: PT11458
License Type: Specialist
1815 E Valley Pkwy Ste 5
Escondido, CA 92027
(760) 233-9655
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Peuker, Barry PT
Physical Therapist
Gender: Male
NPI: 1730138694
License: PT11257
License Type: Specialist
1815 E Valley Pkwy Ste 5
Escondido, CA 92027
(760) 233-9655
Affiliated Group(s): All Star
Physical Therapy, Carlsbad
Physical Therapy
Board Certified: No
Peuker, Barry PT
Physical Therapist
Gender: Male
NPI: 1730138694
License: PT11257
License Type: Specialist
215 S Hickory St Ste 112
Escondido, CA 92025
(760) 737-8460
Affiliated Group(s): All Star
Physical Therapy, Carlsbad
Physical Therapy
Board Certified: No
FALLBROOK
Chen, Betty PT
Physical Therapist
Gender: Female
NPI: 1063843969
License: PT37623
License Type: Specialist
521 E Elder St Ste 106
Fallbrook, CA 92029
(760) 723-8337
Affiliated Group(s): Rancho
Physical Therapy Inc, Vantage
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
126
Specialty Care Providers
Physical Therapist
Cushman, Alexandra J PT
Physical Therapist
Gender: Female
NPI: 1992251896
License: PT292178
License Type: Specialist
577 E Elder St Ste 1
Fallbrook, CA 92028
(760) 723-2687
Affiliated Group(s): All Star
Physical Therapy
Board Certified: No
Higgins, Dawn M PT
Physical Therapist
Gender: Female
NPI: 1679892020
License: PT36588
License Type: Specialist
521 E Elder St Ste 106
Fallbrook, CA 92028
(760) 723-8337
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Martin, Amanda M PT
Physical Therapist
Gender: Female
NPI: 1316210933
License: PT38573
License Type: Specialist
521 E Elder St Ste 106
Fallbrook, CA 92028
(760) 723-8337
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Scott, Luke A PT
Physical Therapist
Gender: Male
NPI: 1477808673
License: PT39184
License Type: Specialist
521 E Elder St Ste 106
Fallbrook, CA 92028
(760) 723-8337
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
German
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Moeller, Lisa K PT
LA JOLLA
Physical Therapist
Hooper, Jason PT
Gender: Female
Physical Therapist
NPI: 1033664677
Gender: Male
License: PT18807
NPI: 1699158022
License Type: Specialist
License: PT11493
9350 Campus Point Dr
License Type: Specialist
La Jolla, CA 92037
9350 Campus Point Dr
(858) 657-6879
La Jolla, CA 92037
Mon-Fri 9:00am-5:00pm
(855) 543-0333
Affiliated Group(s): Ucsd
Affiliated Group(s): Ucsd
Medical Group
Medical Group
Board Certified: No
Board Certified: No
Tomovich,
Kristine K PT
Kurlinkus, Theodore D PT
Physical Therapist
Gender: Male
NPI: 1639550569
License: PT291405
License Type: Specialist
9350 Campus Point Dr Ste Lld
La Jolla, CA 92037
(855) 543-0333
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Meisenholder, Grant W PT
Physical Therapist
Gender: Male
NPI: 1649541137
License: PT37736
License Type: Specialist
9350 Campus Point Dr Lld
La Jolla, CA 92037
(858) 543-0333
Mon-Fri 7:00am-6:30pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Mitchell, Jeffrey A PT
Physical Therapist
Gender: Male
NPI: 1497827638
License: PT4275
License Type: Specialist
9350 Campus Point Dr - Lld
La Jolla, CA 92037
(858) 657-6879
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physical Therapist
Gender: Female
NPI: 1366607905
License: PT43088
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(855) 543-0333
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Brizendine, Kent PT
Physical Therapist
Gender: Male
NPI: 1386786192
License: PT22612
License Type: Specialist
5360 Jackson Dr Ste 116
La Mesa, CA 91942
(619) 469-1691
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
NATIONAL CITY
Fletcher, Casey D PT
Physical Therapist
Gender: Female
NPI: 1548695919
License: 40298
License Type: Specialist
408 W 8th Ave
National City, CA 91950
(619) 474-8666
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physical Therapist
OCEANSIDE
Becherer, Kelley PT
Physical Therapist
Gender: Female
NPI: 1306219472
License: PT43240
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Botti, Timothy PT
Physical Therapist
Gender: Male
NPI: 1134514136
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Emmily Da Silva Camargo, Ivy
PT
Physical Therapist
Gender: Female
NPI: 1942645098
License: 40041
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
127
Specialty Care Providers
Physical Therapist
Fletcher, Casey D PT
Physical Therapist
Gender: Female
NPI: 1548695919
License: 40298
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Gigliotti, Gina PT
Physical Therapist
Gender: Female
NPI: 1316299696
License: 39455
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Hickey, Sean M PT
Physical Therapist
Gender: Male
NPI: 1598009680
License: 39392
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Jimenez, Monica C PT
Rheaume, Alexander PT
Physical Therapist
Gender: Female
NPI: 1952446650
License: 33505
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Jones, Sara PT
Physical Therapist
Gender: Female
NPI: 1790099356
License: 38288
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Lloyd, Christopher J PT
Physical Therapist
Gender: Male
NPI: 1205292356
License: PT43591
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physical Therapist
Gender: Male
NPI: 1053659854
License: 39516
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Rouillard, Norma K PT
Physical Therapist
Gender: Female
NPI: 1194727305
License: 29262
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Saunders Enright, Dawne L PT
Physical Therapist
Gender: Female
NPI: 1003879057
License: 28041
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physician's Language(s):
Spanish
Physical Therapist
Soltren, Justina PT
Physical Therapist
Gender: Female
NPI: 1194069278
License: 39537
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Souza, Jennifer PT
Physical Therapist
Gender: Female
NPI: 1447215397
License: 32643
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Spurrell, Kathryn C PT
Physical Therapist
Gender: Female
NPI: 1134540586
License: PT40706
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
128
Specialty Care Providers
Physical Therapist
Strem, Brendan S PT
Physical Therapist
Gender: Male
NPI: 1033498084
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Tarsi, Lauren PT
Physical Therapist
Gender: Female
NPI: 1770951444
License: PT42832
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Wrench, Melanie L PT
Physical Therapist
Gender: Female
NPI: 1437102308
License: 25142
License Type: Specialist
2741 Vista Way Ste 103
Oceanside, CA 92054
(760) 547-2666
Mon 7:00am-5:00pm, Tue
8:00am-5:00pm, Wed
7:00am-5:00pm, Thu
8:00am-5:00pm, Fri
7:00am-5:00pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Adrian, Jennifer PT
RAMONA
Physical Therapist
Kausar, Sana PT
Gender: Female
Physical Therapist
NPI: 1578813234
Gender: Female
License Type: Specialist
NPI: 1366992364
3200 4th Ave Ste 201
License: 291610
San Diego, CA 92103
License Type: Specialist
(619) 297-4404
850 Main St Ste 102
Affiliated Group(s): Nexus
Ramona, CA 92065
Physical Therapy Inc
(760) 789-1424
Board Certified: No
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Carlsbad
Baker, Alison J PT
Physical Therapy
Physical Therapist
Board Certified: No
Gender: Female
NPI: 1497079198
Kenyon, Susan PT
License: PT36596
Physical Therapist
License Type: Specialist
Gender: Female
321 E St
NPI: 1891093381
San Diego, CA 92101
License: PT8574
(619) 447-7774
License Type: Specialist
Affiliated Group(s): Vantage
850 Main St Ste 105
Medical Group
Ramona, CA 92065
Board Certified: No
(760) 789-1424
Mon-Fri 9:00am-5:00pm
Becherer, Kelley PT
Affiliated Group(s): Carlsbad
Physical Therapist
Physical Therapy
Gender: Female
Board Certified: No
NPI: 1306219472
License: PT43240
Umar, Selma PT
License Type: Specialist
Physical Therapist
3760 Convoy St Ste 101
Gender: Female
San Diego, CA 92111
NPI: 1942758297
(858) 573-9368
License: PT291979
Affiliated Group(s): San Diego
License Type: Specialist
Spine
And Sport Inc
850 Main St Ste 102
Board Certified: No
Ramona, CA 92065
(760) 789-1424
Bhatia, Ricky A PT
Mon-Fri 9:00am-5:00pm
Physical Therapist
Affiliated Group(s): Carlsbad
Gender: Male
Physical Therapy
NPI: 1316314891
Board Certified: No
License: PT42963
License Type: Specialist
SAN DIEGO
5454 El Cajon Blvd
Acosta, Rodolfo PT
San Diego, CA 92115
Physical Therapist
(619) 515-2400
Gender: Male
Mon-Fri 8:30 am-5:30 pm
NPI: 1497060495
Affiliated Group(s): Family
License: PT37807
Health Centers Of San Diego
License Type: Specialist
Inc
5348 Carroll Canyon Rd Ste
Board Certified: No
101
San Diego, CA 92121
(858) 202-1546
Affiliated Group(s): Function
Fit Rehab Physical Therapy, Inc.
Board Certified: No
Physician's Language(s):
Spanish
Physical Therapist
Billote, Chase L PT
Physical Therapist
Gender: Male
NPI: 1689064214
License: PT41931
License Type: Specialist
4094 4th Ave
San Diego, CA 92103
(619) 515-2545
Mon-Thu 8:00am-9:00pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Botti, Timothy PT
Physical Therapist
Gender: Male
NPI: 1134514136
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(888) 208-8526
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Brizendine, Kent PT
Physical Therapist
Gender: Male
NPI: 1386786192
License: PT22612
License Type: Specialist
3200 4th Ave Ste 201
San Diego, CA 92103
(619) 297-4404
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Claudio, Candice A PT
Physical Therapist
Gender: Female
NPI: 1295066959
License: PT26793
License Type: Specialist
321 E St
San Diego, CA 92101
(619) 447-7774
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
129
Specialty Care Providers
Physical Therapist
Emmily Da Silva Camargo, Ivy
PT
Physical Therapist
Gender: Female
NPI: 1942645098
License: 40041
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(951) 296-0788
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Farajzadeh, Farshid PT
Physical Therapist
Gender: Male
NPI: 1326265422
License: PT20075
License Type: Specialist
4501 Mission Bay Dr Ste 3k
San Diego, CA 92109
(858) 866-0340
Affiliated Group(s): Crs
Physical Therapy Inc, Ocean
Physical Therapy
Board Certified: No
Physician's Language(s): Farsi
Farrar, Courtney PT
Physical Therapist
NPI: 1124577952
License Type: Specialist
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Affiliated Group(s): Algos Inc
A Med Corp Dba Synovation
Medical Group
Board Certified: No
Fletcher, Casey D PT
Physical Therapist
Gender: Female
NPI: 1548695919
License: 40298
License Type: Specialist
295 G St
San Diego, CA 92101
(619) 238-4318
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Fletcher, Casey D PT
Physical Therapist
Gender: Female
NPI: 1548695919
License: 40298
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(619) 474-8666
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Furey, Cindy PT
Jones, Sara PT
Physical Therapist
Gender: Female
NPI: 1184650509
License: PT18159
License Type: Specialist
4520 Executive Dr
San Diego, CA 92121
(858) 657-8737
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Halsey, Kelly J PT
Physical Therapist
Gender: Female
NPI: 1972772739
License: PT41283
License Type: Specialist
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center
Board Certified: No
Accessibility: Limited, P, E
Hickey, Sean M PT
Physical Therapist
Gender: Male
NPI: 1598009680
License: 39392
License Type: Specialist
3760 Convoy St Ste 100
San Diego, CA 92111
(858) 573-9368
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Hux, Christopher M PT
Physical Therapist
Gender: Male
NPI: 1255715413
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(858) 573-9368
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Jimenez, Monica C PT
Physical Therapist
Gender: Female
NPI: 1952446650
License: 33505
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(760) 839-2905
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Physical Therapist
Gender: Female
NPI: 1790099356
License: 38288
License Type: Specialist
295 G St
San Diego, CA 92101
(619) 238-4318
Mon-Thu 8:00 am-5:00 pm, Fri
7:00 am-4:00 pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Jones, Sara PT
Physical Therapist
Gender: Female
NPI: 1790099356
License: 38288
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(619) 585-7104
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Kandes, Geoffrey M PT
Physical Therapist
Gender: Male
NPI: 1205833001
License: PT27407
License Type: Specialist
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
Karczewski, Katiya L PT
Physical Therapist
Gender: Female
NPI: 1083169882
License: PT42888
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 543-6530
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physical Therapist
Kench, Saleena A PT
Physical Therapist
Gender: Female
NPI: 1730294547
License: PT27614
License Type: Specialist
9909 Mira Mesa Blvd Ste 120
San Diego, CA 92131
(858) 693-0436
Mon 7:00 am-7:00 pm, Tue 7:00
am-6:00 pm, Wed 7:00 am-7:00
pm, Thu-Fri 7:00 am-6:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Kunde, Michele A PT
Physical Therapist
Gender: Female
NPI: 1679020101
License: PT291916
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Kurlinkus, Theodore D PT
Physical Therapist
Gender: Male
NPI: 1639550569
License: PT291405
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6530
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lambe, Erin K PT
Physical Therapist
Gender: Female
NPI: 1568890424
License: PT40641
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
130
Specialty Care Providers
Physical Therapist
Leavitt, Ian R PT
Physical Therapist
Gender: Male
NPI: 1275993560
License: PT291088
License Type: Specialist
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Lloyd, Christopher J PT
Physical Therapist
Gender: Male
NPI: 1205292356
License: PT43591
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(858) 573-9368
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Mc Elroy, Carter J PT
Physical Therapist
Gender: Male
NPI: 1114472230
License: 26005
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(619) 543-6530
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Thai
Mc Elroy, Carter J PT
Physical Therapist
Gender: Male
NPI: 1114472230
License: 26005
License Type: Specialist
8929 University Center Lns Ste
200
San Diego, CA 92122
(858) 543-0333
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Thai
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Pacer, Jillian PT
Sparks, Todd PT
Physical Therapist
Gender: Female
NPI: 1396096442
License: PT39360
License Type: Specialist
3405 Kenyon St Ste 212
San Diego, CA 92110
(619) 523-9874
Affiliated Group(s): Coastal
Therapy Associates
Board Certified: No
Rheaume, Alexander PT
Physical Therapist
Gender: Male
NPI: 1053659854
License: 39516
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(760) 720-2804
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Saunders Enright, Dawne L PT
Physical Therapist
Gender: Female
NPI: 1003879057
License: 28041
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(619) 585-7104
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physician's Language(s):
Spanish
Soltren, Justina PT
Physical Therapist
Gender: Female
NPI: 1194069278
License: 39537
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(888) 208-8526
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Souza, Jennifer PT
Physical Therapist
Gender: Female
NPI: 1447215397
License: 32643
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(951) 296-0788
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physical Therapist
Gender: Male
NPI: 1265481139
License: PT30298
License Type: Specialist
9909 Mira Mesa Blvd Ste 120
San Diego, CA 92131
(858) 693-0436
Mon 7:00 am-7:00 pm, Tue 7:00
am-6:00 pm, Wed 7:00 am-7:00
pm, Thu-Fri 7:00 am-6:00 pm
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Straehle, Jennifer M PT
Physical Therapist
Gender: Female
NPI: 1275719197
License: PT32952
License Type: Specialist
6719 Alvarado Rd Ste 200
San Diego, CA 92120
(619) 229-3932
Affiliated Group(s): San Diego
Sports Medicine &
Orthopaedic Center
Board Certified: No
Accessibility: Limited, P, E
Strem, Brendan S PT
Physical Therapist
Gender: Male
NPI: 1033498084
License Type: Specialist
295 G St
San Diego, CA 92101
(619) 238-4318
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Strem, Brendan S PT
Physical Therapist
Gender: Male
NPI: 1033498084
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(619) 238-4318
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physical Therapist
Sue, Susan E PT
Physical Therapist
Gender: Female
NPI: 1790734150
License: PT10806
License Type: Specialist
9909 Mira Mesa Blvd Ste 120
San Diego, CA 92131
(858) 693-0436
Mon 7:00 am-7:00 pm, Tue 7:00
am-6:00 pm, Wed 7:00 am-7:00
pm, Thu-Fri 7:00 am-6:00 pm
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Tarsi, Lauren PT
Physical Therapist
Gender: Female
NPI: 1770951444
License: PT42832
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(858) 573-9368
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Tomovich, Kristine K PT
Physical Therapist
Gender: Female
NPI: 1366607905
License: PT43088
License Type: Specialist
4520 Executive Dr Ste 1
San Diego, CA 92121
(844) 377-7678
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Woolridge, Julie A PT
Physical Therapist
NPI: 1679018675
License Type: Specialist
295 G St
San Diego, CA 92101
(619) 238-4318
Mon-Thu 8:00 am-5:00 pm, Fri
7:00 am-4:00 pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
131
Specialty Care Providers
Physical Therapist
Wrench, Melanie L PT
Physical Therapist
Gender: Female
NPI: 1437102308
License: 25142
License Type: Specialist
3760 Convoy St Ste 101
San Diego, CA 92111
(760) 547-2666
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
SAN MARCOS
Chen, Betty PT
Physical Therapist
Gender: Female
NPI: 1063843969
License: PT37623
License Type: Specialist
277 Rancheros Dr Ste 150
San Marcos, CA 92069
(760) 752-1011
Affiliated Group(s): Rancho
Physical Therapy Inc, Vantage
Medical Group
Board Certified: No
Emmily Da Silva Camargo, Ivy
PT
Physical Therapist
Gender: Female
NPI: 1942645098
License: 40041
License Type: Specialist
2115 Montiel Rd Ste 103
San Marcos, CA 92069
(760) 839-2905
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Hansen, Jeremy S PT
Physical Therapist
Gender: Male
NPI: 1588855845
License: PT34755
License Type: Specialist
935 W San Marcos Blvd Ste 102
San Marcos, CA 92078
(760) 233-9655
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Haskins, Teri PT
SANTEE
Physical Therapist
Amaya, Ricardo PT
Gender: Female
Physical Therapist
NPI: 1003866492
Gender: Male
License: PT4459
NPI: 1437445566
License Type: Specialist
License: PT37189
935 W San Marcos Blvd Ste 102 License Type: Specialist
San Marcos, CA 92078
8790 Cuyamaca St Ste A
(760) 233-9655
Santee, CA 92071
Affiliated Group(s): Carlsbad
(619) 596-5969
Physical Therapy, Vantage
Affiliated Group(s): San Diego
Medical Group
Spine And Sport Inc
Board Certified: No
Board Certified: No
Physician's Language(s):
Duron,
Ashley R PT
Spanish
Jimenez, Monica C PT
Physical Therapist
Gender: Female
NPI: 1952446650
License: 33505
License Type: Specialist
2115 Montiel Rd Ste 103
San Marcos, CA 92069
(760) 839-2905
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Seok, Tristan PT
Physical Therapist
Gender: Male
NPI: 1447671821
License: PT40878
License Type: Specialist
935 W San Marcos Blvd Ste 102
San Marcos, CA 92078
(760) 471-2240
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Spurrell, Kathryn C PT
Physical Therapist
Gender: Female
NPI: 1134540586
License: PT40706
License Type: Specialist
2115 Montiel Rd Ste 103
San Marcos, CA 92069
(760) 839-2905
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): San Diego
Spine And Sport Inc
Board Certified: No
Physical Therapist
Gender: Female
NPI: 1962716076
License: PT36952
License Type: Specialist
9830 Prospect Ave
Santee, CA 92071
(619) 448-4860
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Kamph, Alexandra D PT
Physical Therapist
Gender: Female
NPI: 1801298112
License: PT41577
License Type: Specialist
9830 Prospect Ave
Santee, CA 92071
(619) 448-4860
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
Kench, Saleena A PT
Physical Therapist
Gender: Female
NPI: 1730294547
License: PT27614
License Type: Specialist
9830 Prospect Ave
Santee, CA 92071
(619) 448-4860
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Physical Therapist
Rouillard, Norma K PT
Physical Therapist
Gender: Female
NPI: 1194727305
License: 29262
License Type: Specialist
8790 Cuyamaca St Ste A1
Santee, CA 92071
(619) 596-5969
Mon-Thu
0.333333333333333-5:00 pm,
Fri 0.291666666666667-4:00
pm
Affiliated Group(s): San Diego
Spine And Sport Inc, Vantage
Medical Group
Board Certified: No
Valentine, David PT
Physical Therapist
Gender: Male
NPI: 1174612360
License: PT11893
License Type: Specialist
9830 Prospect Ave
Santee, CA 92071
(619) 448-4860
Affiliated Group(s): Carlsbad
Physical Therapy
Board Certified: No
VISTA
Ambrose, Christopher S PT
Physical Therapist
Gender: Male
NPI: 1114977535
License: PT26311
License Type: Specialist
2067 W Vista Way Ste 185
Vista, CA 92083
(760) 631-5888
Affiliated Group(s): Barbara
Jean Boutelle Carlsbad Physical
Therapy
Board Certified: No
Chen, Betty PT
Physical Therapist
Gender: Female
NPI: 1063843969
License: PT37623
License Type: Specialist
1922 Hacienda Dr
Vista, CA 92081
(760) 630-2258
Affiliated Group(s): Rancho
Physical Therapy Inc, Vantage
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
132
Specialty Care Providers
Plastic Surgery
Harmon, Kevin PT
Physical Therapist
Gender: Male
NPI: 1588062749
License: PT42064
License Type: Specialist
1922 Hacienda Dr
Vista, CA 92081
(760) 630-2258
Affiliated Group(s): Rancho
Physical Therapy Inc
Board Certified: No
PLASTIC SURGERY
CHULA VISTA
Mofid, Mehrdad Mark MD
Plastic Surgery
Gender: Male
NPI: 1225244155
License: A83432
License Type: Specialist
754 Medical Center Ct Ste 203
Chula Vista, CA 91911
(619) 656-6493
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
LA JOLLA
Mofid, Mehrdad Mark MD
Plastic Surgery
Gender: Male
NPI: 1225244155
License: A83432
License Type: Specialist
4150 Regents Park Row Ste 300
La Jolla, CA 92037
(858) 909-9000
Mon-Fri 8:30 am-5:30 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
LA MESA
Kaweski, Susan MD
Plastic Surgery
Gender: Female
NPI: 1629076856
License: G53909
License Type: Specialist
8415 Grant Ave
La Mesa, CA 91941
(619) 464-9876
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Susan
Kaweski Md A Professional
Corporation Dba Aesthetic Ar
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Saad, Ahmad MD
SAN DIEGO
Plastic Surgery
Dobke, Marek K MD
Gender: Male
Plastic Surgery
NPI: 1760636534
Gender: Male
License: C118375
NPI: 1902837164
License Type: Specialist
License: A44301
4510 Executive Dr Ste 200
License Type: Specialist
San Diego, CA 92121
200 W Arbor Dr
(858) 482-2370
San Diego, CA 92103
Affiliated Group(s): Ahmad
(619) 471-9186
Saad
Md, Vantage Medical
Affiliated Hospital(s): Ucsd
Group
Medical Center
Board Certified: No
Affiliated Group(s): Ucsd
Physician's Language(s):
Medical Group
Spanish, Arabic, French, Italian
Board Certified: No
Physician's Language(s): Polish
PODIATRIST
Gosman, Amanda MD
BORREGO SPRINGS
Plastic Surgery
Califano, Paul DPM
Gender: Female
Podiatrist
NPI: 1164436291
Gender: Male
License: A96153
NPI: 1932212743
License Type: Specialist
License: E1060
200 W Arbor Dr
License Type: Specialist
San Diego, CA 92103
4343 Yaqui Pass Rd
(619) 543-7200
Borrego Springs, CA 92004
Affiliated Hospital(s): Ucsd
(760) 767-5051
Medical Center
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Ucsd
Affiliated Group(s): Integrated
Medical Group
Health Partners
Board Certified: No
Board Certified: No
Gupta, Deepak MD
Plastic Surgery
Gender: Male
NPI: 1043445950
License: A114745
License Type: Specialist
4510 Executive Dr
San Diego, CA 92121
(619) 294-3746
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Hess, Jason MD
Plastic Surgery
Gender: Male
NPI: 1396786406
License: A104343
License Type: Specialist
4060 4th Ave Ste 120
San Diego, CA 92103
(619) 299-7467
Mon-Fri 9:00 am-5:00 pm, Sat
9:00 am-5:30 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
CHULA VISTA
Chisholm, John A DPM
Podiatrist
Gender: Male
NPI: 1396740072
License: E3431
License Type: Specialist
345 F St Ste 101
Chula Vista, CA 91910
(619) 427-3481
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): South Bay
Foot & Ankle Specialists Inc
Board Certified: No
ENCINITAS
Hatfield, James DPM
Podiatrist
Gender: Male
NPI: 1255324612
License: E1834
License Type: Specialist
501 N El Camino Real Ste 201
Encinitas, CA 92024
(760) 436-8667
Affiliated Group(s): Encinitas
Podiatry Group
Board Certified: No
Physician's Language(s):
Spanish
Podiatrist
ESCONDIDO
Meyer, Joan M DPM
Podiatrist
Gender: Female
NPI: 1629071725
License: E2846
License Type: Specialist
1147 E Grand Ave
Escondido, CA 92025
(760) 738-1583
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Joan M
Meyer Dpm
Board Certified: No
Shin, Heamin T DPM
Podiatrist
Gender: Male
NPI: 1396817524
License: E4545
License Type: Specialist
1130 E Pennsylvania Ave
Escondido, CA 92025
(760) 747-2000
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Korean
NATIONAL CITY
Shoaee, Noushin DPM
Podiatrist
Gender: Female
NPI: 1184658130
License: E4631
License Type: Specialist
655 S Euclid Ave Ste 401
National City, CA 91950
(619) 472-0252
Mon 9:00 am-4:30 pm, Wed
9:00 am-4:30 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
133
Specialty Care Providers
Podiatrist - Foot & Ankle
Surgery
OCEANSIDE
Shin, Heamin T DPM
Podiatrist
Gender: Male
NPI: 1396817524
License: E4545
License Type: Specialist
3230 Waring Ct Ste M
Oceanside, CA 92056
(760) 630-9200
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Korean
SAN DIEGO
Foygelman, Aleksandr DPM
Podiatrist
Gender: Male
NPI: 1265574669
License: E4387
License Type: Specialist
4440 Euclid Ave
San Diego, CA 92115
(619) 281-3338
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Russian, Ukrainian
Larkins, Phillip E DPM
Podiatrist
Gender: Male
NPI: 1659375103
License: E4457
License Type: Specialist
12540 Oaks North Dr B3
San Diego, CA 92128
(858) 451-2151
Affiliated Group(s): Center City
Podiatry Group
Board Certified: No
Mulder, Gary D DPM
Podiatrist
Gender: Male
NPI: 1326053190
License: E2959
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): The
Regents Of The Un Of Ca Dba
Ucsd Emergency Physicians
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
Shoaee, Noushin DPM
Souvorova, Julia DPM
Podiatrist
Gender: Female
NPI: 1184658130
License: E4631
License Type: Specialist
3330 3rd Ave Ste 402
San Diego, CA 92103
(619) 298-1733
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp
Memorial Hospital
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
SAN MARCOS
Charp, Kenneth DPM
Podiatrist
Gender: Male
NPI: 1841384203
License: E1536
License Type: Specialist
1553 Grand Ave Ste B
San Marcos, CA 92078
(760) 744-6226
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
PODIATRIST - FOOT &
ANKLE SURGERY
CHULA VISTA
Morgan, Craig R DPM
Podiatrist - Foot & Ankle
Surgery
Gender: Male
NPI: 1770804171
License: E5230
License Type: Specialist
345 F St Ste 101
Chula Vista, CA 91910
(619) 427-3481
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): South Bay
Foot & Ankle Specialists Inc
Board Certified: No
Podiatrist - Foot & Ankle
Surgery
Gender: Female
NPI: 1114361029
License: E5305
License Type: Specialist
345 F St Ste 101
Chula Vista, CA 91910
(619) 427-3481
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): South Bay
Foot & Ankle Specialists Inc
Board Certified: No
ENCINITAS
Berthelsen, Steven DPM
Podiatrist - Foot & Ankle
Surgery
Gender: Male
NPI: 1710222443
License: E5190
License Type: Specialist
501 N El Camino Real Ste 201
Encinitas, CA 92024
(760) 436-8667
Affiliated Group(s): Encinitas
Podiatry Group
Board Certified: No
LA JOLLA
Berenter, Jay S DPM
Podiatrist - Foot & Ankle
Surgery
NPI: 1861428112
License Type: Specialist
9850 Genesee Ave Ste 360
La Jolla, CA 92037
(858) 450-9218
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
Sabet, Paymaneh DPM
Podiatrist - Foot & Ankle
Surgery
Gender: Female
NPI: 1437474442
License: E5073
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8200
Affiliated Group(s): The
Regents Of The Un Of Ca Dba
Ucsd Emergency Physicians,
Ucsd Medical Group
Board Certified: Yes
Physician's Language(s): Farsi
Preventive Medicine
SAN DIEGO
Sabet, Paymaneh DPM
Podiatrist - Foot & Ankle
Surgery
Gender: Female
NPI: 1437474442
License: E5073
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6400
Affiliated Group(s): The
Regents Of The Un Of Ca Dba
Ucsd Emergency Physicians,
Ucsd Medical Group
Board Certified: Yes
Physician's Language(s): Farsi
PREVENTIVE
MEDICINE
SAN DIEGO
Thorne, Christine A MD
Preventive Medicine
Gender: Female
NPI: 1003251901
License: A11918
License Type: Specialist
330 Lewis St Ste 400
San Diego, CA 92103
(619) 471-3800
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SAN MARCOS
Richardson, Beronie V MD
Preventive Medicine
Gender: Male
NPI: 1235302373
License: A103394
License Type: Specialist
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
134
Specialty Care Providers
Pulmonary Disease
PULMONARY DISEASE
CHULA VISTA
Lira, Jose A MD
Pulmonary Disease
Gender: Male
NPI: 1356319446
License: A33913
License Type: Specialist
841 Kuhn Dr Ste 201
Chula Vista, CA 91914
(619) 623-3816
Mon-Fri 8:30 am-5:00 pm
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish, Tagalog
LA JOLLA
Crouch, Daniel R MD
Pulmonary Disease
Gender: Male
NPI: 1710182423
License: A116727
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hepokoski, Mark L MD
Pulmonary Disease
Gender: Male
NPI: 1649408790
License: A125984
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(855) 355-5864
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ibrahim, Islam M MD
Pulmonary Disease
Gender: Male
NPI: 1962586917
License: C54272
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Kerr, Kim M MD
LA MESA
Pulmonary Disease
Salem, Ahmed DO
Gender: Female
Pulmonary Disease
NPI: 1982647392
Gender: Male
License: G68491
NPI: 1578798013
License Type: Specialist
License: 20A11670
9300 Campus Point Dr
License Type: Specialist
La Jolla, CA 92037
8851 Center Dr
(619) 543-3000
La Mesa, CA 91942
Affiliated Hospital(s): Ucsd
(760) 798-0346
Medical Center
Affiliated Hospital(s):
Affiliated Group(s): Ucsd
Grossmont Hospital
Medical Group
Affiliated Group(s): San Diego
Board Certified: No
Critical Care Medical
Board Certified: No
Owens, Robert L MD
Pulmonary Disease
Gender: Male
NPI: 1972589265
License: C131174
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(619) 543-2347
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sarmiento, Kathleen F MD
Pulmonary Disease
Gender: Female
NPI: 1407868169
License: A117503
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(858) 552-8585
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Schricker, Amir A MD
Pulmonary Disease
Gender: Male
NPI: 1023214798
License: A107058
License Type: Specialist
9434 Medical Center Dr 1st
Floor - 7411
La Jolla, CA 92037
(858) 657-8030
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
NATIONAL CITY
Sazon, Dottie Ann D MD
Pulmonary Disease
Gender: Female
NPI: 1033222708
License: A48932
License Type: Specialist
655 Euclid Ave Ste 206
National City, CA 91950
(619) 267-3188
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Southern
California Sleep Clinic
Board Certified: No
Physician's Language(s):
Tagalog
SAN DIEGO
Akong, Kathryn A MD
Pulmonary Disease
Gender: Female
NPI: 1912169061
License: A96565
License Type: Specialist
8110 Birmingham Way Bldg 28
San Diego, CA 92123
(858) 966-5999
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Akuthota, Praveen MD
Pulmonary Disease
Gender: Male
NPI: 1396704698
License: C137976
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pulmonary Disease
Bao, Gang MD
Pulmonary Disease
Gender: Male
NPI: 1922008598
License: A83170
License Type: Specialist
5050 Murphy Canyon Rd Ste
100
San Diego, CA 92123
(858) 277-7353
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
German, Mandarin
Bao, Gang MD
Pulmonary Disease
Gender: Male
NPI: 1922008598
License: A83170
License Type: Specialist
6719 Alvarado Rd Ste 108
San Diego, CA 92120
(619) 286-8809
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
German, Mandarin
Bates, Dina M MD
Pulmonary Disease
Gender: Female
NPI: 1851559298
License: A120934
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Begovic, Adnan MD
Pulmonary Disease
Gender: Male
NPI: 1093791014
License: A79574
License Type: Specialist
200 W Arbor Dr Ste 313
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
135
Specialty Care Providers
Pulmonary Disease
Beitler, Jeremy R MD
Pulmonary Disease
Gender: Male
NPI: 1043486608
License: A131067
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bencheqroun, Hassan K MD
Pulmonary Disease
Gender: Male
NPI: 1174786594
License: A112435
License Type: Specialist
302 Washington St Ste 116
San Diego, CA 92103
(858) 754-1114
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): El
Bershawi Medical Corp, Nr
Medical Associates
Board Certified: No
Physician's Language(s):
Spanish, Arabic, French
Craig, Vanessa MD
Pulmonary Disease
Gender: Female
NPI: 1548295579
License: A126654
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Crouch, Daniel R MD
Pulmonary Disease
Gender: Male
NPI: 1710182423
License: A116727
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Cuomo, Anthony J MD
Fuster, Mark MD
Pulmonary Disease
Gender: Male
NPI: 1356440465
License: G15864
License Type: Specialist
6699 Alvarado Rd Ste 2308
San Diego, CA 92120
(619) 287-7991
Affiliated Group(s): Anthony J
Cuomo Md Inc
Board Certified: No
El Maraachli, Wael Z MD
Pulmonary Disease
Gender: Male
NPI: 1366468969
License: A36631
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(858) 657-7125
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Arabic, French
Fedullo, Peter F MD
Pulmonary Disease
Gender: Male
NPI: 1427073683
License: G41977
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7752
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fernandes, Timothy M MD
Pulmonary Disease
Gender: Male
NPI: 1669680757
License: A112514
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pulmonary Disease
Gender: Male
NPI: 1972537025
License: G80544
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(858) 658-7100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hepokoski, Mark L MD
Pulmonary Disease
Gender: Male
NPI: 1649408790
License: A125984
License Type: Specialist
200 West Arbor Dr
San Diego, CA 92103
(855) 355-5864
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ibrahim, Islam M MD
Pulmonary Disease
Gender: Male
NPI: 1962586917
License: C54272
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kinkel, Revere P MD
Pulmonary Disease
Gender: Male
NPI: 1043325939
License: G89360
License Type: Specialist
200 W Arbor Dr 3rd Fl Ste 1
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pulmonary Disease
Kitcher, Andrew Gp MD
Pulmonary Disease
Gender: Male
NPI: 1467603563
License: A116416
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Li, Jinghong MD
Pulmonary Disease
Gender: Female
NPI: 1619014479
License: A107000
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Magana, Marisa MD
Pulmonary Disease
Gender: Female
NPI: 1194856286
License: A94464
License Type: Specialist
200 West Arbor Dr Ste 3313
San Diego, CA 92103
(619) 543-5740
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Makani, Samir MD
Pulmonary Disease
Gender: Male
NPI: 1043385685
License: A90479
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
136
Specialty Care Providers
Radiation Oncology
Mandel, Jess MD
Pulmonary Disease
Gender: Male
NPI: 1023006970
License: C52434
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Montgrain, Philippe MD
Pulmonary Disease
Gender: Male
NPI: 1629279997
License: A82120
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Morris, Timothy MD
Pulmonary Disease
Gender: Male
NPI: 1134206709
License: G071499
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Papamatheakis, Demosthenes
G MD
Pulmonary Disease
Gender: Male
NPI: 1326168600
License: A101188
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French, Greek
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Poch, David S MD
RADIATION
Pulmonary Disease
Gender: Male
NPI: 1598955668
License: A107956
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ries, Andrew MD
Pulmonary Disease
Gender: Male
NPI: 1225088214
License: G33984
License Type: Specialist
4168 Front St
San Diego, CA 92103
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Soler, Xavier T MD
Pulmonary Disease
Gender: Male
NPI: 1962738641
License: A140707
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6303
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French
ONCOLOGY
CHULA VISTA
Hoopes, David J MD
Radiation Oncology
Gender: Male
NPI: 1962520080
License: C128063
License Type: Specialist
959 Lane Ave Bldg B
Chula Vista, CA 91914
(619) 502-7730
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group
Board Certified: No
Physician's Language(s):
Spanish
Jabbari, Siavash MD
Radiation Oncology
Gender: Male
NPI: 1720314107
License: A99269
License Type: Specialist
769 Medical Center Ct
Chula Vista, CA 91911
(619) 502-5851
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): X-ray
Medical Group Radiation
Oncology Inc
Board Certified: Yes
Physician's Language(s): Farsi
Mell, Loren K MD
Radiation Oncology
Gender: Male
NPI: 1316119704
License: A104704
License Type: Specialist
959 Lane Ave Bldg B
Chula Vista, CA 91914
(619) 502-7730
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Radiation Oncology
Rash, Dominique L MD
Radiation Oncology
Gender: Female
NPI: 1699908640
License: A116999
License Type: Specialist
959 Lane Ave Ste B
Chula Vista, CA 91914
(619) 502-7730
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Radiation
Oncology South Bay, Ucsd
Radiology Department
Board Certified: No
Urbanic, James J MD
Radiation Oncology
Gender: Male
NPI: 1164607875
License: C131112
License Type: Specialist
959 Lane Ave Bldg B
Chula Vista, CA 91914
(619) 502-7730
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc
Board Certified: No
White, Evan C MD
Radiation Oncology
Gender: Male
NPI: 1063701407
License: A122204
License Type: Specialist
959 Lane Ave Bldg B
Chula Vista, CA 91914
(619) 502-7730
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group, Ucsd Radiation
Oncology South Bay
Board Certified: No
ENCINITAS
Hoopes, David J MD
Radiation Oncology
Gender: Male
NPI: 1962520080
License: C128063
License Type: Specialist
1200 Garden View Rd Ste 210
Encinitas, CA 92024
(858) 246-0500
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
137
Specialty Care Providers
Radiation Oncology
Rash, Dominique L MD
Radiation Oncology
Gender: Female
NPI: 1699908640
License: A116999
License Type: Specialist
1200 Garden View Rd Ste 210
Encinitas, CA 92024
(858) 246-0500
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Radiation
Oncology South Bay, Ucsd
Radiology Department
Board Certified: No
Urbanic, James J MD
Radiation Oncology
Gender: Male
NPI: 1164607875
License: C131112
License Type: Specialist
1200 Garden View Rd Ste 210
Encinitas, CA 92024
(858) 246-0500
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc
Board Certified: No
White, Evan C MD
Radiation Oncology
Gender: Male
NPI: 1063701407
License: A122204
License Type: Specialist
1200 Garden View Rd Ste 210
Encinitas, CA 92024
(858) 246-0500
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group, Ucsd Radiation
Oncology South Bay
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
ESCONDIDO
Fuller, Donald B MD
Radiation Oncology
Gender: Male
NPI: 1285632711
License: G62532
License Type: Specialist
701 E Grand Ave Ste 200
Escondido, CA 92025
(760) 839-7370
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Ijaz, Tahir MD
Radiation Oncology
Gender: Male
NPI: 1225036742
License: A52748
License Type: Specialist
701 E Grand Ave Ste 200
Escondido, CA 92025
(760) 839-7370
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Smith, Damon E MD
Radiation Oncology
Gender: Male
NPI: 1760480123
License: G72842
License Type: Specialist
701 E Grand Ave Ste 200
Escondido, CA 92025
(760) 839-7370
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
LA JOLLA
Advani, Sunil J MD
Radiation Oncology
Gender: Male
NPI: 1669649844
License: A110025
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group, Ucsd Radiation
Oncology South Bay
Board Certified: No
Hoopes, David J MD
Radiation Oncology
Gender: Male
NPI: 1962520080
License: C128063
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group
Board Certified: No
Physician's Language(s):
Spanish
Mansy, Gina J MD
Radiation Oncology
Gender: Female
NPI: 1326046855
License: A65021
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6040
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital, Ucsd
Medical Center
Affiliated Group(s): Ucsd
Radiation Oncology South Bay
Board Certified: No
Radiation Oncology
Murphy, James D MD
Radiation Oncology
Gender: Male
NPI: 1730382631
License: A105348
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rash, Dominique L MD
Radiation Oncology
Gender: Female
NPI: 1699908640
License: A116999
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-7499
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Radiation
Oncology South Bay, Ucsd
Radiology Department
Board Certified: No
Rash, Dominique L MD
Radiation Oncology
Gender: Female
NPI: 1699908640
License: A116999
License Type: Specialist
3960 Health Sciences Dr
La Jolla, CA 92093
(858) 822-7499
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Radiation
Oncology South Bay, Ucsd
Radiology Department
Board Certified: No
Sanghvi, Parag R MD
Radiation Oncology
Gender: Male
NPI: 1801005152
License: A105184
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Hospital(s): Scripps
Memorial Hospital Encinitas,
Scripps Mercy Hospital, Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
138
Specialty Care Providers
Radiation Oncology
Sharabi, Andrew B MD
Radiation Oncology
Gender: Male
NPI: 1043531213
License: A136977
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-4048
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group, Ucsd Radiation
Oncology South Bay
Board Certified: No
Simpson, Daniel R MD
Radiation Oncology
Gender: Male
NPI: 1689974883
License: A118377
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6040
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Urbanic, James J MD
Radiation Oncology
Gender: Male
NPI: 1164607875
License: C131112
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6040
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc
Board Certified: No
White, Evan C MD
Radiation Oncology
Gender: Male
NPI: 1063701407
License: A122204
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6040
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group, Ucsd Radiation
Oncology South Bay
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
OCEANSIDE
Hoopes, David J MD
Radiation Oncology
Gender: Male
NPI: 1962520080
License: C128063
License Type: Specialist
4002 Vista Way
Oceanside, CA 92056
(760) 724-8411
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Medical
Group
Board Certified: No
Physician's Language(s):
Spanish
Rash, Dominique L MD
Radiation Oncology
Gender: Female
NPI: 1699908640
License: A116999
License Type: Specialist
4002 Vista Way
Oceanside, CA 92056
(760) 724-8411
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc, Ucsd Radiation
Oncology South Bay, Ucsd
Radiology Department
Board Certified: No
Urbanic, James J MD
Radiation Oncology
Gender: Male
NPI: 1164607875
License: C131112
License Type: Specialist
4002 Vista Way
Oceanside, CA 92056
(760) 724-8411
Affiliated Group(s): Regents Of
The Uc Dba Ucsd Radiation
Oncology Oc
Board Certified: No
SAN DIEGO
Fuller, Donald B MD
Radiation Oncology
Gender: Male
NPI: 1285632711
License: G62532
License Type: Specialist
3366 5th Ave
San Diego, CA 92103
(619) 849-9729
Mon-Fri 12:00 am-12:00 am
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Fuller, Donald B MD
Radiation Oncology
Gender: Male
NPI: 1285632711
License: G62532
License Type: Specialist
5395 Ruffin Rd Ste 103
San Diego, CA 92123
(858) 505-4100
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Ijaz, Tahir MD
Radiation Oncology
Gender: Male
NPI: 1225036742
License: A52748
License Type: Specialist
2466 First Ave Ste B
San Diego, CA 92101
(619) 230-0400
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Radiation Oncology
Ijaz, Tahir MD
Radiation Oncology
Gender: Male
NPI: 1225036742
License: A52748
License Type: Specialist
5395 Ruffin Rd Ste 103
San Diego, CA 92123
(858) 505-4100
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Mell, Loren K MD
Radiation Oncology
Gender: Male
NPI: 1316119704
License: A104704
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Smith, Damon E MD
Radiation Oncology
Gender: Male
NPI: 1760480123
License: G72842
License Type: Specialist
2466 First Ave Ste B
San Diego, CA 92101
(619) 230-0400
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Smith, Damon E MD
Radiation Oncology
Gender: Male
NPI: 1760480123
License: G72842
License Type: Specialist
5395 Ruffin Rd Ste 103
San Diego, CA 92123
(858) 505-4100
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Mary
Birch Hospital For Women,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
139
Specialty Care Providers
Reproductive Endocrinology
Volpp, Paul B MD
Radiation Oncology
Gender: Male
NPI: 1225186232
License: A86307
License Type: Specialist
7901 Frost St
San Diego, CA 92123
(619) 541-3525
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): X-ray
Medical Group Radiation
Oncology Inc
Board Certified: Yes
REPRODUCTIVE
ENDOCRINOLOGY
LA JOLLA
Hadnott, Tracy MD
Reproductive Endocrinology
Gender: Female
NPI: 1992065692
License: A130402
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Su, Hui Chun I MD
Reproductive Endocrinology
Gender: Female
NPI: 1053466011
License: A110340
License Type: Specialist
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
Su, Hui Chun I MD
Reproductive Endocrinology
Gender: Female
NPI: 1053466011
License: A110340
License Type: Specialist
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Toloubeydokhti, Tannaz MD
EL CAJON
Reproductive Endocrinology
Busa, Swapna P MD
Gender: Female
Rheumatology
NPI: 1477846095
Gender: Female
License: A134477
NPI: 1841592763
License Type: Specialist
License: A61769
9300 Campus Point Dr
License Type: Specialist
La Jolla, CA 92037
300 S Pierce St Ste 203
(619) 543-2347
El Cajon, CA 92020
Affiliated Group(s): Ucsd
(619) 334-4869
Medical Group
Affiliated Group(s): Cabrillo
Board Certified: No
Center For Rheumatic Disease
Apc
SAN DIEGO
Board Certified: No
Brubaker, Linda MD
Reproductive Endocrinology
Mabaquiao, Arthur R MD
Gender: Female
Rheumatology
NPI: 1053385195
Gender: Male
License: G87848
NPI: 1730271933
License Type: Specialist
License: A61769
4520 Executive Dr
License Type: Specialist
San Diego, CA 92121
300 S Pierce St Ste 203
(858) 657-8737
El Cajon, CA 92020
Affiliated Group(s): Ucsd
(619) 334-4869
Medical Group
Mon-Fri 9:00 am-5:00 pm
Board Certified: No
Affiliated Group(s): Cabrillo
Center For Rheumatic Disease
RHEUMATOLOGY
Apc
Board Certified: No
CHULA VISTA
Kotha, Akther J MD
ESCONDIDO
Rheumatology
Gender: Female
NPI: 1780609503
License: A45440
License Type: Specialist
374 H St Ste 201
Chula Vista, CA 91910
(619) 205-0120
Affiliated Group(s):
Purushotham & Akther Kotha
Md Inc, Vantage Medical
Group
Board Certified: No
Kotha, Akther J MD
Rheumatology
Gender: Female
NPI: 1780609503
License: A45440
License Type: Specialist
450 4th Ave Ste 300
Chula Vista, CA 91910
(619) 427-3090
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s):
Purushotham & Akther Kotha
Md Inc, Vantage Medical
Group
Board Certified: No
Kotha, Akther J MD
Rheumatology
Gender: Female
NPI: 1780609503
License: A45440
License Type: Specialist
637 E Grand Ave
Escondido, CA 92025
(760) 291-1919
Affiliated Group(s):
Purushotham & Akther Kotha
Md Inc, Vantage Medical
Group
Board Certified: No
LA JOLLA
Hepburn, Bonnie MD
Rheumatology
Gender: Female
NPI: 1104972850
License: G83568
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rheumatology
Pedersen, Brian A MD
Rheumatology
Gender: Male
NPI: 1790913770
License: A117531
License Type: Specialist
9350 Campus Point Dr Ste 2b
La Jolla, CA 92037
(858) 657-6110
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
LA MESA
Kotha, Akther J MD
Rheumatology
Gender: Female
NPI: 1780609503
License: A45440
License Type: Specialist
8860 Center Dr Ste 400
La Mesa, CA 91942
(619) 229-1995
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s):
Purushotham & Akther Kotha
Md Inc, Vantage Medical
Group
Board Certified: No
Accessibility: Limited, E
Kotha, Roshan MD
Rheumatology
Gender: Female
NPI: 1417117839
License: A106044
License Type: Specialist
8860 Center Dr Ste 400
La Mesa, CA 91942
(619) 229-1995
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s):
Purushotham & Akther Kotha
Md Inc, Vantage Medical
Group
Board Certified: No
Physician's Language(s):
Spanish, Hindi, Telugu
Accessibility: Limited, E
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
140
Specialty Care Providers
Rheumatology
SAN DIEGO
Bluestein, Harry MD
Rheumatology
Gender: Male
NPI: 1295793024
License: G20053
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bottini, Nunzio MD
Rheumatology
Gender: Male
NPI: 1124303011
License: A126488
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6248
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ceponis, Arnoldas MD
Rheumatology
Gender: Male
NPI: 1144423039
License: A106525
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6248
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Corr, Mary MD
Rheumatology
Gender: Female
NPI: 1255389417
License: G061357
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6248
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Dikranian, Ara MD
Hepburn, Bonnie MD
Rheumatology
Gender: Male
NPI: 1609962026
License: A62403
License Type: Specialist
3633 Camino Del Rio S Ste 300
San Diego, CA 92108
(619) 287-9730
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Memorial Hospital
Affiliated Group(s): El Centro
Regional Medical Center
Outpatient Center El Centr
Board Certified: Yes
Physician's Language(s):
Spanish, Russian
Accessibility: Limited, IB, R, E
Firestein, Gary S MD
Rheumatology
Gender: Male
NPI: 1699790808
License: G46824
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6248
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ginsberg, Mark H MD
Rheumatology
Gender: Male
NPI: 1659396778
License: G29521
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Guma, Monica MD
Rheumatology
Gender: Female
NPI: 1346522141
License: A126993
License Type: Specialist
4168 Front St Third Floor
San Diego, CA 92103
(619) 543-6248
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Rheumatology
Gender: Female
NPI: 1104972850
License: G83568
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kalunian, Kenneth C MD
Rheumatology
Gender: Male
NPI: 1346269990
License: G43645
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kavanaugh, Arthur MD
Rheumatology
Gender: Male
NPI: 1679584486
License: C50307
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kotha, Akther J MD
Rheumatology
Gender: Female
NPI: 1780609503
License: A45440
License Type: Specialist
5555 Reservoir Dr Ste 309
San Diego, CA 92120
(619) 229-1995
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s):
Purushotham & Akther Kotha
Md Inc, Vantage Medical
Group
Board Certified: No
Lee, Susan MD
Rheumatology
Rheumatology
Gender: Female
NPI: 1386677045
License: A67596
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7777
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Middleton, Gregory D MD
Rheumatology
Gender: Male
NPI: 1104891290
License: C54037
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pedersen, Brian A MD
Rheumatology
Gender: Male
NPI: 1790913770
License: A117531
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-6248
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Singh, Abha G MD
Rheumatology
Gender: Female
NPI: 1710144423
License: A136137
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-2384
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
141
Specialty Care Providers
Sleep Medicine
Sweeney, Susan E MD
Rheumatology
Gender: Female
NPI: 1285650382
License: A81194
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Terkeltaub, Robert MD
Rheumatology
Gender: Male
NPI: 1841258050
License: G47014
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 231-9300
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
Tseng, Justina J MD
Rheumatology
Gender: Female
NPI: 1346276540
License: C54040
License Type: Specialist
4725 Market St
San Diego, CA 92102
(619) 515-2560
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY Speech-Language Pathologist
Shives, Lisa J MD
SLEEP MEDICINE
SAN DIEGO
Sleep Medicine
Baarck, Kaitlin A SLP
LA MESA
Gender: Female
Speech-Language Pathologist
Sharma, Victoria MD
NPI: 1740322825
Gender: Female
Sleep Medicine
License: C131956
NPI: 1700264876
Gender: Female
License Type: Specialist
License: SP24086
NPI: 1033236682
8899 University Lane Ste 160
License Type: Specialist
License: A126275
San Diego, CA 92122
1809 National Ave
License Type: Specialist
(858) 657-1600
San Diego, CA 92113
5525 Grossmont Center Dr Ste Affiliated Group(s): Ucsd
(619) 515-2300
602
Medical Group
Mon 8:00am-7:00pm, Tue-Thu
La Mesa, CA 91942
Board Certified: No
8:00am-6:00pm, Fri
(619) 740-4488
Physician's Language(s):
8:00am-5:30pm, Sat
Mon-Fri 7:00 am-3:30 pm
French, German
8:15am-5:00pm
Affiliated Group(s): Victoria
Affiliated Group(s): Family
SPEECH-LANGUAGE
Sharma Md
Health Centers Of San Diego
PATHOLOGIST
Board Certified: No
Inc
Physician's Language(s):
LA JOLLA
Board Certified: No
Russian
Physician's Language(s):
Blumenfeld, Liza S SLP
Spanish
SAN DIEGO
Speech-Language Pathologist
Accessibility: Basic, IB, P, W, R,
Gender: Female
Cologne, Scott E MD
E, EB
NPI: 1053853614
Sleep Medicine
License: SP10068
Gender: Male
Blumenfeld, Liza S SLP
License Type: Specialist
NPI: 1215055421
Speech-Language Pathologist
3855 Health Sciences Dr
License: A117417
Gender: Female
La Jolla, CA 92093
License Type: Specialist
NPI: 1053853614
(858) 822-6197
5050 Murphy Canyon Rd Ste
License: SP10068
Mon-Fri 8:00am-5:00pm
100
License Type: Specialist
Affiliated Group(s): Ucsd
San Diego, CA 92123
8899 University Center Lane
Otolaryngology
(858) 277-7353
San Diego, CA 92122
Board Certified: No
Affiliated Group(s): Vantage
(858) 657-8590
Physician's Language(s):
Medical Group
Mon-Fri 8:00am-5:00pm
Spanish
Board Certified: Yes
Affiliated Group(s): Ucsd
Physician's Language(s):
Otolaryngology
Blumenfeld, Liza S SLP
Spanish
Board Certified: No
Speech-Language Pathologist
Physician's Language(s):
Gender: Female
Malhotra, Atul MD
Spanish
NPI: 1053853614
Sleep Medicine
License: SP10068
Gender: Male
Bondoc, Christa Glorybe SLP
License Type: Specialist
NPI: 1982695169
Speech-Language Pathologist
9350 Campus Point Dr Lla
License: C55949
Gender: Female
La Jolla, CA 92037
License Type: Specialist
NPI: 1912396011
(858) 657-8590
200 W Arbor Dr
License: SLP20894
Mon-Fri 8:00am-5:00pm
San Diego, CA 92103
License Type: Specialist
Affiliated Group(s): Ucsd
(619) 471-9186
12396 World Trade Dr 105
Otolaryngology
Affiliated Group(s): Ucsd
San Diego, CA 92128
Board Certified: No
Medical Group
(858) 405-4724
Physician's Language(s):
Board Certified: No
Affiliated Group(s): Reach
Spanish
Therapy Services
Mesarwi, Omar A MD
Board Certified: No
Sleep Medicine
Physician's Language(s):
Gender: Male
French
NPI: 1245430032
License: A144727
License Type: Specialist
4520 Executive Dr Ste Plaza 2
San Diego, CA 92121
(858) 355-5864
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Physician's Language(s):
French
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
142
Specialty Care Providers
Surgery - General
Gonzales, Brenna A SLP
Speech-Language Pathologist
Gender: Female
NPI: 1528411089
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Hundemer, Samantha R SLP
Speech-Language Pathologist
Gender: Female
NPI: 1730537408
License: SP24295
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon 8:00am-7:00pm, Tue-Thu
8:00am-6:00pm, Fri
8:00am-5:30pm, Sat
8:15am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Basic, IB, P, W, R,
E, EB
Lin, Angela SLP
Speech-Language Pathologist
Gender: Female
NPI: 1225375017
License: SLP21047
License Type: Specialist
12396 World Trade Dr 105
San Diego, CA 92128
(858) 405-4724
Affiliated Group(s): Reach
Therapy Services
Board Certified: No
Neese, Susan Y SLP
Speech-Language Pathologist
Gender: Female
NPI: 1710422134
License: 13480
License Type: Specialist
8899 University Ln Ste 160
San Diego, CA 92122
(858) 543-0333
Mon-Fri 7:30am-4:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Schaefer, Lindsey A SLP
Hsu, Andrew S MD
Speech-Language Pathologist
Gender: Female
NPI: 1598200719
License: SP17349
License Type: Specialist
8929 University Center Lns Ste
200
San Diego, CA 92122
(858) 543-0333
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SURGERY - GENERAL
CHULA VISTA
Arcovedo, Rodolfo MD
Surgery - General
Gender: Male
NPI: 1225018880
License: C51718
License Type: Specialist
786 3rd Ave Ste B
Chula Vista, CA 91911
(630) 285-1530
Affiliated Hospital(s): Sharp
Chula Vista Medical Center
Affiliated Group(s): Coast
Surgical Group A Professional
Corp
Board Certified: No
Physician's Language(s):
Spanish, Tagalog
Barrera, Hugo H MD
Surgery - General
Gender: Male
NPI: 1043299100
License: G79280
License Type: Specialist
786 3rd Ave Ste B
Chula Vista, CA 91911
(630) 285-1530
Affiliated Hospital(s): Scripps
Mercy Hospital, Sharp Chula
Vista Medical Center, Sharp
Healthcare Dba Sharp
Coronado Hospital
Affiliated Group(s): Coast
Surgical Group A Professional
Corp
Board Certified: Yes
Surgery - General
Gender: Male
NPI: 1083817399
License: A108956
License Type: Specialist
480 4th Ave Ste 404
Chula Vista, CA 91910
(619) 425-5184
Affiliated Group(s): South Bay
Surg Assoc Med Gr, Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Hsu, Bradford T MD
Surgery - General
Gender: Male
NPI: 1912968389
License: A86179
License Type: Specialist
480 4th Ave Ste 404
Chula Vista, CA 91910
(619) 425-4559
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): South Bay
Surg Assoc Med Gr, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Summers, Stephen T MD
Surgery - General
Gender: Male
NPI: 1174502223
License: G70943
License Type: Specialist
786 3rd Ave Ste B
Chula Vista, CA 91911
(630) 285-1530
Affiliated Group(s): Coast
Surgical Group A Professional
Corp, Vantage Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish, Tagalog
Yang, Yifan MD
Surgery - General
Gender: Male
NPI: 1114188539
License: A109921
License Type: Specialist
751 Medical Center Ct Ste B
Chula Vista, CA 91911
(916) 734-2724
Affiliated Group(s): Coast
Surgical Group A Professional
Corp
Board Certified: No
Surgery - General
Yu, Nicholas R MD
Surgery - General
NPI: 1710149950
License: A13612
License Type: Specialist
480 4th Ave Ste 404
Chula Vista, CA 91910
(619) 425-4559
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): South Bay
Surg Assoc Med Gr, Vantage
Medical Group
Board Certified: No
ESCONDIDO
Bulkin, Anatoly J MD
Surgery - General
Gender: Male
NPI: 1275593154
License: G79826
License Type: Specialist
255 N Elm St Ste 204
Escondido, CA 92025
(760) 294-0870
Affiliated Group(s): North
County Vascular Center, San
Diego Vascular Center, Surgical
Associates Of San Diego Pc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Russian
Bulkin, Anatoly J MD
Surgery - General
Gender: Male
NPI: 1275593154
License: G79826
License Type: Specialist
625 W Citracado Pkwy Ste 203
Escondido, CA 92025
(760) 739-7666
Affiliated Group(s): North
County Vascular Center, San
Diego Vascular Center, Surgical
Associates Of San Diego Pc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Russian
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
143
Specialty Care Providers
Surgery - General
Chang, Alexander T MD
Surgery - General
Gender: Male
NPI: 1376860056
License: A123245
License Type: Specialist
625 W Citracado Pkwy Ste 203
Escondido, CA 92025
(760) 739-7666
Affiliated Group(s): San Diego
Vascular Center, Surgical
Associates Of San Diego Pc
Board Certified: No
Physician's Language(s):
Korean
Moldovan, Stefan MD
Surgery - General
Gender: Male
NPI: 1245291624
License: A56200
License Type: Specialist
255 N Elm St Ste 204
Escondido, CA 92025
(760) 294-0870
Affiliated Group(s): San Diego
Vascular Center, Surgical
Associates Of San Diego Pc
Board Certified: No
Physician's Language(s):
French, Romanian
Moldovan, Stefan MD
Surgery - General
Gender: Male
NPI: 1245291624
License: A56200
License Type: Specialist
625 W Citracado Pkwy Ste 203
Escondido, CA 92025
(760) 739-7666
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): San Diego
Vascular Center, Surgical
Associates Of San Diego Pc
Board Certified: No
Physician's Language(s):
French, Romanian
LA JOLLA
Berumen, Jennifer A MD
Surgery - General
Gender: Female
NPI: 1558566372
License: A106782
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Bhoyrul, Sunil MD
Kelly, Kaitlyn J MD
Surgery - General
Gender: Male
NPI: 1366559320
License: A61911
License Type: Specialist
9850 Genesee Ave Ste 570
La Jolla, CA 92037
(858) 457-4917
Affiliated Group(s): Olde Del
Mar Surgical Medical Group
Board Certified: No
Blair, Sarah L MD
Surgery - General
Gender: Female
NPI: 1710918008
License: G85042
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bouvet, Michael MD
Surgery - General
Gender: Male
NPI: 1033177803
License: G69035
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Halldorson, Jeffrey B MD
Surgery - General
Gender: Male
NPI: 1558446351
License: G86089
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-2124
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Surgery - General
Gender: Female
NPI: 1124272430
License: A124613
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Lowy, Andrew MD
Surgery - General
Gender: Male
NPI: 1346218179
License: G87988
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Parry, Lisa A MD
Surgery - General
Gender: Female
NPI: 1235369067
License: A131297
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Parsons, John K MD
Surgery - General
Gender: Male
NPI: 1760440101
License: A91156
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Surgery - General
Ramamoorthy, Sonia MD
Surgery - General
Gender: Female
NPI: 1801812656
License: A65709
License Type: Specialist
9300 Campus Point Dr
La Jolla, CA 92037
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sicklick, Jason K MD
Surgery - General
Gender: Male
NPI: 1487700779
License: A11250
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
White, Rebekah R MD
Surgery - General
Gender: Female
NPI: 1750400784
License: C143450
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-2124
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
OCEANSIDE
Kroener, John M MD
Surgery - General
Gender: Male
NPI: 1932104890
License: G35262
License Type: Specialist
3601 Vista Way Ste 203
Oceanside, CA 92056
(760) 724-5352
Affiliated Group(s): John M
Kroener Md A Medical
Corporation
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
144
Specialty Care Providers
Surgery - General
SAN DIEGO
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Brown, Kristian L MD
Costantini, Todd W MD
Surgery - General
Gender: Female
Surgery - General
NPI: 1023272051
Gender: Male
License: A124291
NPI: 1831493501
License Type: Specialist
License: 20A12870
7910 Frost St Ste 250
License Type: Specialist
San Diego, CA 92123
7910 Frost St Ste 450
(858) 637-4800
San Diego, CA 92123
Mon-Fri 9:00 am-5:00 pm
(858) 565-0104
Affiliated Group(s): Balboa
Affiliated Group(s): San Diego
General And Vascular Surgeons Nephrology Medical Group Inc
Board Certified: No
Medical Group Inc
Board Certified: No
Cantrell, Emily F MD
Surgery - General
Bench, Shawn R MD
Gender: Female
Surgery - General
NPI: 1619295383
Gender: Male
License: A134669
NPI: 1669700753
License Type: Specialist
License: A108975
200 W Arbor Dr
License Type: Specialist
San Diego, CA 92103
7910 Frost St Ste 450
(619) 543-6886
San Diego, CA 92123
Mon-Fri 8:00 am-5:00 pm
(858) 565-0104
Affiliated Group(s): Ucsd
Affiliated Group(s): San Diego
General And Vascular Surgeons Medical Group
Board Certified: No
Medical Group Inc
Board Certified: No
Clary, Bryan M MD
Surgery - General
Berndtson, Allison MD
Gender: Male
Surgery - General
NPI: 1982787131
Gender: Female
License: G134895
NPI: 1457518219
License Type: Specialist
License: A105854
4520 Executive Dr Ste 111
License Type: Specialist
San Diego, CA 92121
200 W Arbor Dr
(858) 657-8860
San Diego, CA 92103
Affiliated Group(s): Ucsd
(619) 543-3759
Medical Group
Affiliated Group(s): Ucsd
Board Certified: No
Medical Group
Board Certified: No
Coimbra, Raul S MD
Surgery - General
Brown, Kristian L MD
Gender: Male
Surgery - General
NPI: 1356372791
Gender: Female
License: A74573
NPI: 1023272051
License Type: Specialist
License: A124291
200 W Arbor Dr
License Type: Specialist
San Diego, CA 92103
6402 El Cajon Blvd Ste 100
(619) 543-7200
San Diego, CA 92115
Affiliated Hospital(s): Ucsd
(619) 582-4490
Medical Center
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Affiliated Group(s): Balboa
Nephrology Medical Group Inc Medical Group
Board Certified: No
Board Certified: No
Barnes, Ryan DO
Surgery - General
Gender: Male
NPI: 1396900064
License: A95420
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dierksheide, Julie E MD
Surgery - General
Gender: Female
NPI: 1346465168
License: A128857
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Friedman, Paul B MD
Surgery - General
Gender: Male
NPI: 1538117619
License: G15913
License Type: Specialist
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Godat, Laura N MD
Surgery - General
Gender: Female
NPI: 1548440100
License: A120673
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Surgery - General
Goetz, Laura H MD
Surgery - General
Gender: Female
NPI: 1710941729
License: A63645
License Type: Specialist
6973 Linda Vista Rd
San Diego, CA 92111
(858) 279-9676
Mon 8:30 am-5:30 pm, Tue 8:30
am-9:00 pm, Wed-Fri 8:30
am-5:30 pm, Sat 9:00 am-4:00
pm
Affiliated Group(s): San Diego
Family Care
Board Certified: No
Halldorson, Jeffrey B MD
Surgery - General
Gender: Male
NPI: 1558446351
License: G86089
License Type: Specialist
4168 Front St
San Diego, CA 92103
(619) 543-5870
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Horgan, Santiago MD
Surgery - General
Gender: Male
NPI: 1932297231
License: A5355
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Husseman, Jacob W MD
Surgery - General
Gender: Male
NPI: 1124034053
License: A95583
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6631
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group, Ucsd
Otolaryngology
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
145
Specialty Care Providers
Surgery - General
Kobayashi, Leslie M MD
Surgery - General
Gender: Male
NPI: 1255501474
License: A90700
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kosoy, Daniel MD
Surgery - General
Gender: Male
NPI: 1770627259
License: A60375
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(619) 299-2350
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: No
Accessibility: Limited, P, R, E
Larson, Craig R DO
Surgery - General
Gender: Male
NPI: 1528183928
License: 20A11358
License Type: Specialist
8010 Frost St Ste 408
San Diego, CA 92123
(858) 939-7471
Affiliated Group(s): Sharp
Cardiovascular And Thoracic
Center
Board Certified: No
Luo, Ran B MD
Surgery - General
Gender: Male
NPI: 1891006920
License: A135777
License Type: Specialist
4520 Executive Dr Ste 111
San Diego, CA 92121
(858) 657-8860
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, Cantonese, Mandarin
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mekeel, Kristin L MD
Reynolds, Jessica L MD
Surgery - General
Gender: Female
NPI: 1104861947
License: C54096
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Murphy, Leo J MD
Surgery - General
Gender: Male
NPI: 1467515494
License: G20130
License Type: Specialist
4060 4th Ave Ste 102
San Diego, CA 92103
(619) 800-7942
Affiliated Group(s): Mary
Murphy Md
Board Certified: Yes
Perdrizet, George A MD
Surgery - General
Gender: Male
NPI: 1871695114
License: G134002
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6463
Affiliated Group(s): The
Regents Of The Un Of Ca Dba
Ucsd Emergency Physicians,
Ucsd Medical Group
Board Certified: No
Pollema, Travis DO
Surgery - General
Gender: Male
NPI: 1871752956
License: 20A12742
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Surgery - General
Gender: Female
NPI: 1205105731
License: A119307
License Type: Specialist
4520 Executive Dr Ste 111
San Diego, CA 92121
(858) 657-8860
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Rumsey Jr, Eugene MD
Surgery - General
Gender: Male
NPI: 1730259029
License: G40645
License Type: Specialist
4060 4th Ave Ste 330
San Diego, CA 92103
(619) 298-9931
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Hillcrest
Surgical Medical Group Inc
Dba Bariatric Surgical
Board Certified: Yes
Sakakibara, Naohide MD
Surgery - General
Gender: Male
NPI: 1588697916
License: A67153
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sandler, Bryan J MD
Surgery - General
Gender: Male
NPI: 1043410186
License: A99837
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Surgery - General
Simpson, Amelia J MD
Surgery - General
Gender: Female
NPI: 1538484084
License: A135624
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6886
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Skorobogaty, Herman MD
Surgery - General
Gender: Male
NPI: 1356531958
License: A105847
License Type: Specialist
6386 Alvarado Ct Ste 330
San Diego, CA 92120
(858) 554-8984
Affiliated Group(s): Herman
Skorobogaty Md Dba San
Diego Advanced Surgery Pc
Board Certified: No
Suliman, Ahmed S MD
Surgery - General
Gender: Male
NPI: 1013169085
License: A88033
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tanaka, Laurence K MD
Surgery - General
Gender: Male
NPI: 1679641427
License: C34455
License Type: Specialist
4060 4th Ave Ste 330
San Diego, CA 92103
(619) 298-9931
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Hillcrest
Surgical Medical Group Inc
Dba Bariatric Surgical
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
146
Specialty Care
Providers
San Diego County
Surgery Of The Hand
Tenenhaus, Mayer MD
Surgery - General
Gender: Male
NPI: 1689607020
License: A52624
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Wallace, Anne M MD
Surgery - General
Gender: Female
NPI: 1699732941
License: G073000
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Zorn, George MD
Surgery - General
Gender: Male
NPI: 1851460448
License: G31404
License Type: Specialist
4060 4th Ave Ste 330
San Diego, CA 92103
(619) 298-9931
Affiliated Group(s): Hillcrest
Surgical Medical Group Inc
Dba Bariatric Surgical
Board Certified: No
SURGERY OF THE
HAND
SAN DIEGO
Hofmeister, Eric P MD
Surgery Of The Hand
NPI: 1093785206
License: G138235
License Type: Specialist
4445 Eastegate Mall Ste 105
San Diego, CA 92121
(858) 412-6080
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Synergy
Specialists Medical Group
Board Certified: No
IN ALPHABETICAL ORDER BY
SPECIALTY AND CITY
SURGICAL CRITICAL
CARE
SAN DIEGO
Doucet, Jay J MD
Surgical Critical Care
Gender: Male
NPI: 1205993813
License: A69243
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SURGICAL ONCOLOGY
LA JOLLA
Baumgartner, Joel M MD
Surgical Oncology
Gender: Male
NPI: 1679629257
License: A121105
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
THORACIC SURGERY
(CARDIOTHORACIC
VASCULAR SURGERY)
CHULA VISTA
Sundaram, Shankar M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1730138892
License: C141352
License Type: Specialist
450 Fourth Ave Ste 215
Chula Vista, CA 91910
(619) 567-7007
Affiliated Group(s): Sasha
Salloum Md Inc A Professional
Med Corp
Board Certified: Yes
LA JOLLA
Golts, Eugene M MD
Thoracic Surgery (Cardiothoracic
Vascular Surgery)
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1316000649
License: A82530
License Type: Specialist
9434 Medical Center Dr 1 St Fl
La Jolla, CA 92037
(858) 657-7777
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Onaitis, Mark W MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1841310638
License: A144886
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6146
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Onaitis, Mark W MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1841310638
License: A144886
License Type: Specialist
9434 Medical Center Dr 1 St Fl
La Jolla, CA 92037
(858) 657-7777
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Koumjian, Michael MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1366403321
License: G37886
License Type: Specialist
5525 Grossmont Center Dr Ste
S 609
La Mesa, CA 91942
(619) 466-5700
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Chula Vista Medical Center
Affiliated Group(s): Michael P
Koumjian Md, Vantage Medical
Group
Board Certified: No
OCEANSIDE
Folkerth, Theodore L MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1952477572
License: C30651
License Type: Specialist
3998 Vista Way Ste 204
Oceanside, CA 92056
(760) 726-2500
Affiliated Hospital(s): Tri City
Medical Center
Affiliated Group(s): North
County Cardiothoracic Surgery
Amc, Vantage Medical Group
Board Certified: Yes
Howden, Frederick M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1497759732
License: G76203
License Type: Specialist
3998 Vista Way Ste 204
Oceanside, CA 92056
(760) 726-2500
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Frederick
M Howden Md
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
147
Specialty Care
Providers
San Diego County
Thoracic Surgery (Cardiothoracic
IN ALPHABETICAL ORDER BY
Vascular Surgery)
SPECIALTY AND CITY
Adamson, Robert M MD
Dembitsky, Walter P MD
Mazur, Paul A MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1366641375
License: A87711
License Type: Specialist
3601 Vista Way Ste 203
Oceanside, CA 92056
(760) 724-5352
Affiliated Group(s): Pacificare
Cardiothoracic Surgical
Associates
Board Certified: No
POWAY
Sundaram, Shankar M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1730138892
License: C141352
License Type: Specialist
15611 Pomerado Rd Ste 520
Poway, CA 92064
(858) 264-7004
Affiliated Group(s): Sasha
Salloum Md Inc A Professional
Med Corp
Board Certified: Yes
SAN DIEGO
Adamson, Robert M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1043292584
License: G54880
License Type: Specialist
7910 Frost St Ste 330
San Diego, CA 92123
(858) 300-4747
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Sharp
Cardiovascular And Thoracic
Center
Board Certified: Yes
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1043292584
License: G54880
License Type: Specialist
8010 Frost St Ste 408
San Diego, CA 92123
(858) 541-6830
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): Sharp
Cardiovascular And Thoracic
Center
Board Certified: Yes
Coletta, Joelle M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Female
NPI: 1447222377
License: A55001
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dembitsky, Walter P MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1891777421
License: G33154
License Type: Specialist
7910 Frost St Ste 330
San Diego, CA 92123
(858) 300-4747
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Sharp
Cardiovascular And Thoracic
Center
Board Certified: No
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1891777421
License: G33154
License Type: Specialist
8010 Frost St Ste 408
San Diego, CA 92123
(858) 541-6830
Affiliated Hospital(s): Sharp
Mary Birch Hospital For
Women
Affiliated Group(s): Sharp
Cardiovascular And Thoracic
Center
Board Certified: No
Golts, Eugene M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1316000649
License: A82530
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Goodman, Allan H MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1407061039
License: A20877
License Type: Specialist
7901 Frost St
San Diego, CA 92123
(858) 292-5151
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Allan H
Goodman Md Inc
Board Certified: No
Thoracic Surgery (Cardiothoracic
Vascular Surgery)
Howden, Frederick M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1497759732
License: G76203
License Type: Specialist
5555 Reservoir Dr Ste 206
San Diego, CA 92120
(619) 287-6003
Affiliated Hospital(s):
Grossmont Hospital
Affiliated Group(s): Frederick
M Howden Md
Board Certified: No
Kriett, Jolene MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Female
NPI: 1699707299
License: G67449
License Type: Specialist
1809 National Ave
San Diego, CA 92113
(619) 515-2300
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): San Diego
Family Care, San Ysidro Health
Center
Board Certified: No
Kriett, Jolene MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Female
NPI: 1699707299
License: G67449
License Type: Specialist
3030 Childrens Way Ste 202
San Diego, CA 92123
(858) 966-8030
Affiliated Group(s): San Diego
Family Care, San Ysidro Health
Center
Board Certified: No
Limmer, Karl K MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1871757294
License: A99830
License Type: Specialist
8010 Frost St Ste 408
San Diego, CA 92123
(858) 939-7471
Affiliated Group(s): Sharp
Cardiovascular And Thoracic
Center
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
148
Specialty Care Providers
Transplant Surgery
Madani, Michael M MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1518999069
License: A67201
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Sharp
Memorial Hospital, Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Moreno, Ricardo J MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1346217213
License: A30738
License Type: Specialist
550 Washington St Ste 701
San Diego, CA 92103
(619) 297-0008
Affiliated Group(s): Ricardo J
Moreno Md Inc
Board Certified: No
Perricone, Anthony MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1104842129
License: G65464
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pretorius, Gert Victor D MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1629385836
License: A113774
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Sundaram, Shankar M MD
TRANSPLANT
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1730138892
License: C141352
License Type: Specialist
995 Gateway Center Wy Ste
108
San Diego, CA 92102
(619) 567-7007
Affiliated Group(s): Sasha
Salloum Md Inc A Professional
Med Corp
Board Certified: Yes
Urlaub, Bernard J MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1639173974
License: C33988
License Type: Specialist
5555 Reservoir Dr Ste 206
San Diego, CA 92120
(619) 287-6003
Affiliated Group(s): Bernard J
Urlaub Md Inc, Vantage
Medical Group
Board Certified: No
Urlaub, Bernard J MD
Thoracic Surgery
(Cardiothoracic Vascular
Surgery)
Gender: Male
NPI: 1639173974
License: C33988
License Type: Specialist
6699 Alvarado Rd Ste 2210
San Diego, CA 92120
(619) 287-6003
Affiliated Group(s): Bernard J
Urlaub Md Inc, Vantage
Medical Group
Board Certified: No
SURGERY
SAN DIEGO
Hemming, Alan W MD
Transplant Surgery
Gender: Male
NPI: 1073529426
License: C53758
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
TRAUMA SURGERY
SAN DIEGO
Bansal, Vishal MD
Trauma Surgery
Gender: Male
NPI: 1194889410
License: A94958
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-7200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Lee, Jeanne G MD
Trauma Surgery
Gender: Female
NPI: 1649334657
License: A96295
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Urgent Care
Owens, Erik L MD
Trauma Surgery
Gender: Male
NPI: 1578506523
License: G84727
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Danish, Norwegian, Swedish
URGENT CARE
CHULA VISTA
Doctors Express Of Bonita
Urgent Care
NPI: 1316225147
License Type: Clinic
760 Otay Lakes Rd
Chula Vista, CA 91915
(619) 821-2300
Board Certified: No
Partners Urgent Care Eastlake
Urgent Care
NPI: 1669778965
License Type: Clinic
2315 Otay Lakes Rd
Chula Vista, CA 91915
(714) 389-5700
Mon-Fri 8:00 am-8:00 pm, Sat
9:00 am-5:00 pm
Board Certified: No
FALLBROOK
A Plus Walk In Urgent Care In
- Fallbrook
Urgent Care
NPI: 1407210958
License Type: Clinic
617 E Alvarado St
Fallbrook, CA 92028
(951) 397-4240
Board Certified: No
LA MESA
Partners Urgent Care
Grossmont
Urgent Care
NPI: 1396041695
License Type: Clinic
6136 Lake Murray Blvd
La Mesa, CA 91942
(619) 303-5500
Mon-Sat 8:00 am-8:00 pm
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
149
Specialty Care Providers
San Diego County
Urology
NATIONAL CITY
South Coast Medical Clinic
And San Deigo Physical
Therapy
Urgent Care
NPI: 1154414852
License Type: Clinic
408 W 8th St
National City, CA 91950
(619) 474-8666
Mon-Fri 6:00 am-7:00 pm
Board Certified: No
SAN DIEGO
Partners Urgent Care Utc
Urgent Care
NPI: 1427355874
License Type: Clinic
4085 Governor Dr
San Diego, CA 92122
(858) 888-7800
Mon-Fri 8:00 am-8:00 pm, Sat
9:00 am-5:00 pm
Board Certified: No
Somagen Healthcare Iii Dba
Doctors Express Of Clairemont
Urgent Care
NPI: 1558788620
License Type: Clinic
5671 Balboa Ave
San Diego, CA 92111
(858) 800-2880
Board Certified: No
SANTEE
Doctors Express Of Santee
Urgent Care
NPI: 1396058137
License Type: Clinic
10538 Mission Gorge Rd Ste
100
Santee, CA 92071
(619) 456-0033
Mon-Sat 8:00am-8:00pm
Board Certified: No
UROLOGY
CORONADO
Roberts, James L MD
Urology
Gender: Male
NPI: 1508972191
License: G59945
License Type: Specialist
230 Prospect Pl Ste 200
Coronado, CA 92118
(619) 229-0670
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
ENCINITAS
Juma, Saad MD
Urology
Gender: Male
NPI: 1013931930
License: A42398
License Type: Specialist
320 Santa Fe Dr 108
Encinitas, CA 92024
(760) 753-8373
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Physician's Language(s): Arabic
ESCONDIDO
Anthony, Julian N MD
Urology
Gender: Male
NPI: 1841392552
License: A82316
License Type: Specialist
1955 Citracado Pkwy Ste 302
Escondido, CA 92029
(760) 743-5111
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Jones, Thomas A MD
Urology
Gender: Male
NPI: 1922005859
License: G51735
License Type: Specialist
1955 Citracado Pkwy Ste 302
Escondido, CA 92029
(760) 743-5111
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Riffle, George N MD
Urology
Gender: Male
NPI: 1326000282
License: C27969
License Type: Specialist
303 S Juniper St
Escondido, CA 92025
(760) 745-7079
Affiliated Group(s): Escondido
Urology Medical Group Inc
Board Certified: No
LA JOLLA
Abdel Kader, Andrew Karim
MD
Urology
Gender: Male
NPI: 1184731127
License: A116234
License Type: Specialist
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6189
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
French
Butler, Philip A MD
Urology
Gender: Male
NPI: 1184665911
License: G47129
License Type: Specialist
9850 Genesee Ave Ste 440
La Jolla, CA 92037
(858) 453-5944
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Cohen, Edward S MD
Urology
Gender: Male
NPI: 1093756827
License: G56844
License Type: Specialist
9850 Genesee Ave Ste 440
La Jolla, CA 92037
(858) 453-5944
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Minnillo, Brian J MD
Urology
Gender: Male
NPI: 1104142389
License: A141575
License Type: Specialist
9850 Genesee Ave Ste 440
La Jolla, CA 92037
(858) 453-5944
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Naitoh, John MD
Urology
Urology
Gender: Male
NPI: 1629010509
License: G82079
License Type: Specialist
9850 Genesee Ave Ste 440
La Jolla, CA 92037
(858) 453-5944
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Smith, Damien L MD
Urology
Gender: Male
NPI: 1063603108
License: A112593
License Type: Specialist
9850 Genesee Ave Ste 440
La Jolla, CA 92037
(858) 453-5944
Affiliated Group(s): Faculty
Physicians & Surgeons Of
Llusmm, Genesis Healthcare
Partners Pc
Board Certified: No
LA MESA
Anthony, Julian N MD
Urology
Gender: Male
NPI: 1841392552
License: A82316
License Type: Specialist
5565 Grossmont Center Dr Ste
358
La Mesa, CA 91942
(619) 460-3000
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Dato, Paul E MD
Urology
Gender: Male
NPI: 1588632715
License: A43540
License Type: Specialist
8851 Center Dr Ste 501
La Mesa, CA 91942
(619) 697-2456
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
150
Specialty Care Providers
Urology
Eisenberg, Robert B MD
Urology
Gender: Male
NPI: 1821014820
License: A31900
License Type: Specialist
8851 Center Dr Ste 501
La Mesa, CA 91942
(619) 697-2456
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Accessibility: Limited, P, E
Gaylis, Franklin D MD
Urology
Gender: Male
NPI: 1750360806
License: A46251
License Type: Specialist
8851 Center Dr Ste 501
La Mesa, CA 91942
(619) 697-2456
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Accessibility: Limited, P, E
Lahey, Susan MD
Urology
Gender: Female
NPI: 1366578031
License: C137247
License Type: Specialist
8851 Center Dr Ste 501
La Mesa, CA 91942
(619) 697-2456
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
NATIONAL CITY
Eisenberg, Robert B MD
Urology
Gender: Male
NPI: 1821014820
License: A31900
License Type: Specialist
655 Euclid Ave Ste 301
National City, CA 91950
(619) 697-2456
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Siegel, Jordan MD
Anthony, Julian N MD
Urology
Gender: Male
NPI: 1275865958
License: A110507
License Type: Specialist
655 Euclid Ave Ste 301
National City, CA 91950
(858) 888-7700
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
POWAY
Neustein, Paul MD
Urology
Gender: Male
NPI: 1578529731
License: G42225
License Type: Specialist
15644 Pomerado Rd Ste 206
Poway, CA 92064
(858) 485-0554
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Physician's Language(s):
Hebrew
SAN DIEGO
Abbott, Joel DO
Urology
Gender: Male
NPI: 1720213101
License: 20A11538
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Anthony, Julian N MD
Urology
Gender: Male
NPI: 1841392552
License: A82316
License Type: Specialist
1901 4th Ave Ste 200
San Diego, CA 92101
(619) 236-1111
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Urology
Gender: Male
NPI: 1841392552
License: A82316
License Type: Specialist
3969 4th Ave Ste 202
San Diego, CA 92103
(619) 260-0060
Mon-Fri 9:00 am-5:00 pm
Affiliated Hospital(s):
Grossmont Hospital, Sharp
Chula Vista Medical Center,
Sharp Memorial Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Bechis, Seth K MD
Urology
Gender: Male
NPI: 1376863746
License: A139139
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3572
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bosch, Philip C MD
Urology
Gender: Male
NPI: 1508845983
License: G46782
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3572
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bridge, Stephen S MD
Urology
Gender: Male
NPI: 1922034891
License: A44719
License Type: Specialist
4060 4th Ave Ste 310
San Diego, CA 92103
(619) 297-4707
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: Yes
Buckley, Jill C MD
Urology
Urology
Gender: Female
NPI: 1730198128
License: A77631
License Type: Specialist
4520 Executive Dr Ste 111
San Diego, CA 92121
(858) 657-8860
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dato, Paul E MD
Urology
Gender: Male
NPI: 1588632715
License: A43540
License Type: Specialist
3444 Kearny Villa Rd Ste 201
San Diego, CA 92123
(858) 430-1101
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish
Derweesh, Ithaar MD
Urology
Gender: Male
NPI: 1003873720
License: C53383
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Dicks, Brian M MD
Urology
Gender: Male
NPI: 1144425687
License: A100413
License Type: Specialist
200 W Arbor Dr Ste 8897
San Diego, CA 92103
(619) 543-2628
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
151
Specialty Care Providers
Urology
Dicks, Brian M MD
Urology
Gender: Male
NPI: 1144425687
License: A100413
License Type: Specialist
4060 4th Ave Ste 310
San Diego, CA 92103
(619) 297-4707
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Gaylis, Franklin D MD
Urology
Gender: Male
NPI: 1750360806
License: A46251
License Type: Specialist
3444 Kearny Villa Rd Ste 201
San Diego, CA 92123
(858) 430-1101
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Hsieh, Tung C MD
Urology
Gender: Male
NPI: 1073758652
License: A120604
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Indudhara, Ramaiah MD
Urology
Gender: Male
NPI: 1538116215
License: A81435
License Type: Specialist
7910 Frost St Ste 220
San Diego, CA 92123
(858) 637-4800
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Balboa
Nephrology Medical Group Inc
Board Certified: Yes
Accessibility: Limited, P, R, E
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Kane, Christopher MD
Roberts, James L MD
Urology
Gender: Male
NPI: 1083636294
License: G69249
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Marietti Shepherd, Sarah R MD
Urology
Gender: Female
NPI: 1801094115
License: A106447
License Type: Specialist
7930 Frost St Ste 407
San Diego, CA 92123
(858) 279-8527
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Parsons, Charles L MD
Urology
Gender: Male
NPI: 1588677124
License: G33834
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Pe, Mark Rally L MD
Urology
Gender: Male
NPI: 1801003694
License: A112013
License Type: Specialist
4060 4th Ave Ste 310
San Diego, CA 92103
(619) 297-4707
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Urology
Gender: Male
NPI: 1508972191
License: G59945
License Type: Specialist
3444 Kearny Villa Rd Ste 202
San Diego, CA 92123
(619) 299-0670
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Roberts, James L MD
Urology
Gender: Male
NPI: 1508972191
License: G59945
License Type: Specialist
4033 3rd Ave Ste 400
San Diego, CA 92103
(619) 299-0670
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: No
Sakamoto, Kyoko MD
Urology
Gender: Female
NPI: 1740223619
License: A80808
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Japanese
Salem, Carol MD
Urology
Gender: Female
NPI: 1336152982
License: G75788
License Type: Specialist
4060 4th Ave Ste 310
San Diego, CA 92103
(619) 297-4707
Affiliated Hospital(s): Scripps
Mercy Hospital
Affiliated Group(s): Genesis
Healthcare Partners Pc,
Vantage Medical Group
Board Certified: Yes
Urology
Santiago-lastra, Yahir A MD
Urology
Gender: Female
NPI: 1699936609
License: A143504
License Type: Specialist
4520 Executive Dr Ste 111
San Diego, CA 92121
(858) 657-7876
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Sur, Roger L MD
Urology
Gender: Male
NPI: 1932208022
License: G80585
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Vapnek, Evan Michael MD
Urology
Gender: Male
NPI: 1811003411
License: G75357
License Type: Specialist
3444 Kearny Villa Rd Ste 202
San Diego, CA 92123
(619) 299-0670
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
Vapnek, Evan Michael MD
Urology
Gender: Male
NPI: 1811003411
License: G75357
License Type: Specialist
4033 3rd Ave Ste 400
San Diego, CA 92103
(619) 299-0670
Affiliated Group(s): Genesis
Healthcare Partners Pc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
152
Specialty Care Providers
Vascular & Interventional
Radiology
Woo, Jason MD
Urology
Gender: Male
NPI: 1437380086
License: A114634
License Type: Specialist
200 West Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-3572
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
VASCULAR &
INTERVENTIONAL
RADIOLOGY
SAN DIEGO
Aryafar, Hamed MD
Vascular & Interventional
Radiology
Gender: Male
NPI: 1093963605
License: A99187
License Type: Specialist
200 W Arbor Dr Ste I505
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Farsi
Picel, Andrew C MD
Vascular & Interventional
Radiology
Gender: Male
NPI: 1003012444
License: A108134
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND
CITY
Jamshidi-nezhad, Mohammad J
VASCULAR
DO
NEUROLOGY
CHULA VISTA
Tafreshi, Gilda M MD
Vascular Neurology
Gender: Female
NPI: 1891946950
License: A103111
License Type: Specialist
751 Medical Center Ct
Chula Vista, CA 91911
(619) 482-5851
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Accessibility: Limited, P, R, E
VASCULAR SURGERY
CHULA VISTA
Salloum, Alexander C MD
Vascular Surgery
Gender: Male
NPI: 1124176151
License: A89300
License Type: Specialist
450 Fourth Ave Ste 215
Chula Vista, CA 91910
(619) 567-7007
Affiliated Hospital(s): Palomar
Medical Center, Paradise Valley
Hospital, Pomerado Hospital
Affiliated Group(s): Sasha
Salloum Md Inc A Professional
Med Corp
Board Certified: No
OCEANSIDE
Deemer, Andrew R MD
Vascular Surgery
Gender: Male
NPI: 1578568432
License: G66191
License Type: Specialist
3601 Vista Way Ste 203
Oceanside, CA 92056
(760) 724-5352
Affiliated Group(s): Andrew R
Deemer Md
Board Certified: No
Physician's Language(s):
Spanish
Vascular Surgery
Gender: Male
NPI: 1891797023
License: 20A10547
License Type: Specialist
3601 Vista Way Ste 203
Oceanside, CA 92056
(760) 724-5352
Affiliated Group(s): Expert
Surgeons Of California Inc
Board Certified: No
Physician's Language(s): Farsi
POWAY
Salloum, Alexander C MD
Vascular Surgery
Gender: Male
NPI: 1124176151
License: A89300
License Type: Specialist
15611 Pomerado Rd Ste 520
Poway, CA 92064
(858) 264-7004
Affiliated Hospital(s): Palomar
Medical Center, Paradise Valley
Hospital, Pomerado Hospital
Affiliated Group(s): Sasha
Salloum Md Inc A Professional
Med Corp
Board Certified: No
SAN DIEGO
Bandyk, Dennis F MD
Vascular Surgery
Gender: Male
NPI: 1649282039
License: G89003
License Type: Specialist
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bench, Gary R MD
Vascular Surgery
Gender: Male
NPI: 1225007974
License: A35873
License Type: Specialist
7910 Frost St Ste 450
San Diego, CA 92123
(858) 565-0104
Affiliated Hospital(s): Sharp
Memorial Hospital
Affiliated Group(s): San Diego
General And Vascular Surgeons
Medical Group Inc
Board Certified: No
Vascular Surgery
Salloum, Alexander C MD
Vascular Surgery
Gender: Male
NPI: 1124176151
License: A89300
License Type: Specialist
995 Gateway Center Wy Ste
108
San Diego, CA 92102
(619) 567-7007
Affiliated Hospital(s): Palomar
Medical Center, Paradise Valley
Hospital, Pomerado Hospital
Affiliated Group(s): Sasha
Salloum Md Inc A Professional
Med Corp
Board Certified: No
Sise, Michael J MD
Vascular Surgery
Gender: Male
NPI: 1487617627
License: G48515
License Type: Specialist
550 Washington St Ste 641
San Diego, CA 92103
(619) 299-2600
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Michael J
Sise Md
Board Certified: No
Yang, Jack C MD
Vascular Surgery
Gender: Male
NPI: 1952365025
License: G73002
License Type: Specialist
4033 Third Ave Ste 420
San Diego, CA 92103
(619) 255-1440
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Jack C
Yang Md Amc, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin, Vietnamese
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
153
Hospitals
Chula Vista
General Acute Care
Hospital
CHULA VISTA
Sharp Chula Vista Medical
Center
General Acute Care Hospital
NPI: 1396728630
License: 090000008
License Type: General Acute
Care Hospital
751 Medical Center Ct
Chula Vista, CA 91911
(619) 502-5800
Board Certified: No
ESCONDIDO
Palomar Medical Center
General Acute Care Hospital
NPI: 1457321317
License: 080000083
License Type: General Acute
Care Hospital
2185 Citracado Parkway
Escondido, CA 92029
(442) 281-5000
Board Certified: No
LA JOLLA
Scripps Health Green Hospital
General Acute Care Hospital
NPI: 1841233780
License: 080000139
License Type: General Acute
Care Hospital
10666 N Torrey Pines Rd
La Jolla, CA 92037
(800) 690-9070
Board Certified: No
LA MESA
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Sharp Memorial Hospital
OCEANSIDE
General Acute Care Hospital
Tri City Medical Center
NPI: 1407839921
General Acute Care Hospital
License: 080000039
NPI: 1801861190
License Type: General Acute
License: 080000099
Care Hospital
License Type: General Acute
7901 Frost St
Care Hospital
San Diego, CA 92123
4002 Vista Way
(858) 939-3400
Oceanside, CA 92056
Board Certified: No
(760) 724-8411
Board Certified: No
Ucsd Medical Center
POWAY
Palomar Pomerado Health Dba
Pomerado Hospital
General Acute Care Hospital
NPI: 1376513754
License: 80000127
License Type: General Acute
Care Hospital
15615 Pomerado Rd
Poway, CA 92064
(858) 613-4000
Affiliated Group(s): Palomar
Medical Center
Board Certified: No
Pomerado Hospital
General Acute Care Hospital
NPI: 1376513754
License: 80000127
License Type: General Acute
Care Hospital
15615 Pomerado Rd
Poway, CA 92064
(858) 613-4000
Affiliated Group(s): Palomar
Medical Center
Board Certified: No
SAN DIEGO
Grossmont Hospital
Scripps Mercy Hospital
NPI: 1528041811
License: 080000006
License Type: General Acute
Care Hospital
5555 Grossmont Center Dr
La Mesa, CA 91942
(619) 740-6000
Board Certified: No
NPI: 1659359446
License: 090000074
License Type: General Acute
Care Hospital
4077 5th Ave
San Diego, CA 92103
(619) 294-8111
Board Certified: No
General Acute Care Hospital
NATIONAL CITY
General Acute Care Hospital
Paradise Valley Hospital
Sharp Mary Birch Hospital For
Women
NPI: 1598756710
License: 090000145
License Type: General Acute
Care Hospital
2400 E 4th St
National City, CA 91950
(619) 470-4321
Board Certified: No
NPI: 1407839921
License: 080000039
License Type: General Acute
Care Hospital
3003 Health Center Dr
San Diego, CA 92123
(858) 939-3400
Board Certified: No
General Acute Care Hospital
San Diego
General Acute Care Hospital
NPI: 1184722779
License: 090000101
License Type: General Acute
Care Hospital
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Board Certified: No
SAN MARCOS
Palomar Medical Center
General Acute Care Hospital
NPI: 1457321317
License: 080000083
License Type: General Acute
Care Hospital
125 Vallecitos De Oro
San Marcos, CA 92069
(760) 739-2972
Board Certified: No
Long Term Care Hospital
SAN DIEGO
Sharp Mesa Vista Hospital
Long Term Care Hospital
NPI: 1346384468
License: 550000273
License Type: General Acute
Care Hospital
7850 Vista Hill Ave
San Diego, CA 92123
(858) 278-4110
Board Certified: No
General Acute Care Hospital
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
154
Behavioral Health and Substance Use
Carlsbad
Behavioral Analyst
CARLSBAD
Kampff, Lauren BCBA
Behavioral Analyst
Gender: Female
NPI: 1720323058
License: BCBA11519438
License Type: Mental Health
Professionals
1850 Marron Rd Ste 112
Carlsbad, CA 92009
(800) 515-5016
Affiliated Group(s): Aces
Board Certified: No
Renner, Anahita BCBA
Behavioral Analyst
Gender: Female
NPI: 1275896607
License: BCBA1041573
License Type: Mental Health
Professionals
701 Palomar Airport Rd Ste
300
Carlsbad, CA 92011
(858) 381-7721
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Autism
Interventions And Resources
Inc
Board Certified: No
CHULA VISTA
Corrales, Monica BCBA
Behavioral Analyst
NPI: 1740504703
License: BCBA1095640
License Type: Mental Health
Professionals
282 Landis Ave
Chula Vista, CA 91910
(619) 691-1880
Affiliated Group(s): Motiva
Family Therapists And
Behavioral Services Inc
Board Certified: No
Lemus, Martin BCBA
Behavioral Analyst
NPI: 1316281496
License: BCBA0125172
License Type: Mental Health
Professionals
282 Landis Ave
Chula Vista, CA 91910
(619) 691-1880
Affiliated Group(s): Motiva
Family Therapists And
Behavioral Services Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Balingit, Maria O BCBA
ESCONDIDO
Behavioral Analyst
Koch, David BCBA
Gender: Female
Behavioral Analyst
NPI: 1679953921
Gender: Male
License: BCBA11520739
NPI: 1114383650
License Type: Mental Health
License: BCBA11621915
Professionals
License Type: Mental Health
3731 Sixth Ave Ste 100
Professionals
San Diego, CA 92103
1045 E Pennsylvania Ave
(619) 278-0884
Escondido, CA 92025
Mon-Fri 9:00 am-5:00 pm
(619) 201-2010
Affiliated Group(s): Aces
Mon-Fri 9:00am-5:00pm
Board Certified: No
Affiliated Group(s): Peoples
Care Autism Services Inc
Becker, Kameron BCBA
Board Certified: No
Behavioral Analyst
NPI: 1194026948
OCEANSIDE
License: BCBA1107629
Margarian, Randi BCBA
License Type: Mental Health
Behavioral Analyst
Professionals
NPI: 1811370422
7297 Ronson Rd Ste H
License: BCBA11520240
San Diego, CA 92111
License Type: Mental Health
(858) 278-6603
Professionals
Affiliated Group(s): Center For
3355 Mission Ave Ste 221
Autism And Related Disorders
Oceanside, CA 92058
Inc
(951) 813-4034
Board Certified: No
Affiliated Group(s):
Comprehensive Autism Center Bernaldo, Marianne BCBA
Behavioral Analyst
Inc
Gender: Female
Board Certified: No
NPI: 1992015820
SAN DIEGO
License: BCBA1095606
License Type: Mental Health
Anderson, Renee L BCBA
Professionals
Behavioral Analyst
3978 Sorrento Valley Blvd Ste
Gender: Female
100
NPI: 1952774028
San Diego, CA 92121
License: BCBA11417411
(619) 203-7447
License Type: Mental Health
Affiliated Group(s): Xcite Steps
Professionals
Llc
4204 Adams Ave Ste A
Board Certified: No
San Diego, CA 92116
(619) 786-0074
Broome, Amelia BCBA
Mon-Fri 9:00am-5:00pm
Behavioral Analyst
Affiliated Group(s): Abacus
Gender: Female
Behavioral Health Inc
NPI: 1740643527
Board Certified: No
License: BCBA11521320
License Type: Mental Health
Anglin Jr, Derric BCBA
Professionals
Behavioral Analyst
7297 Ronson Rd Ste H
NPI: 1912226283
San Diego, CA 92111
License: BCBA1-14-9984
(858) 278-6603
License Type: Mental Health
Affiliated Group(s): Center For
Professionals
Autism And Related Disorders
563 Balboa Ave Ste 521
Inc
San Diego, CA 92111
Board Certified: No
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
San Diego
Candan, Renee BCBA
Behavioral Analyst
NPI: 1093079766
License: BCBA11211964
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Daneshvar, Sabrina D BCBA
Behavioral Analyst
Gender: Female
NPI: 1952673931
License: BCBA1041563
License Type: Mental Health
Professionals
9445 Farnham St Ste 104
San Diego, CA 92123
(858) 598-2693
Mon-Sat 8:00 am-8:00 pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Diaz, Heather BCBA
Behavioral Analyst
NPI: 1568913861
License: BCBA11623094
License Type: Mental Health
Professionals
15373 Innovation Dr Ste 200
San Diego, CA 92128
(858) 699-7579
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Verbal
Behavior Associates
Board Certified: No
Diebolt, Julia BCBA
Behavioral Analyst
NPI: 1356616015
License: BCBA11210268
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Physician's Language(s): Italian
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
155
Behavioral Health and Substance Use
San Diego
Doan, Dai BCBA
Behavioral Analyst
Gender: Female
NPI: 1598136129
License: BCBA11519876
License Type: Mental Health
Professionals
500 W 190th St
San Diego, CA 92123
(866) 278-1520
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Etie, Stephanie A BCBA
Behavioral Analyst
Gender: Female
NPI: 1780915124
License: BCBA1063148
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Fang, Jennifer BCBA
Behavioral Analyst
Gender: Female
NPI: 1578926291
License: BCBA1-16-21700
License Type: Mental Health
Professionals
15373 Innovation Dr Ste 200
San Diego, CA 92128
(858) 699-7579
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Verbal
Behavior Associates
Board Certified: No
Ferguson, Molly BCBA
Behavioral Analyst
Gender: Female
NPI: 1770716086
License: BCBA1118730
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Fleming, Alisha M BCBA
George, Allison BCBA
Behavioral Analyst
Gender: Female
NPI: 1174911523
License: BCBA11410077
License Type: Mental Health
Professionals
11590 W Bernardino Ct Ste 100
San Diego, CA 92127
(858) 432-4749
Mon-Fri 8:30am-5:00pm
Affiliated Group(s): Sunny
Days Of California Inc
Board Certified: No
Fontana, Carlyn L BCBA
Behavioral Analyst
Gender: Female
NPI: 1225489651
License: BCBA11622466
License Type: Mental Health
Professionals
15373 Innovation Dr Ste 200
San Diego, CA 92128
(858) 699-7579
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Verbal
Behavior Associates
Board Certified: No
Francisco, Ana BCBA
Behavioral Analyst
NPI: 1710373949
License: BCBA11518111
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Gaughran, Lindsay BCBA
Behavioral Analyst
Gender: Female
NPI: 1225415391
License: BCBA11518329
License Type: Mental Health
Professionals
3731 Sixth Ave Ste 100
San Diego, CA 92103
(619) 278-0884
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Aces
Board Certified: No
Behavioral Analyst
NPI: 1265885669
License: BCBA11622609
License Type: Mental Health
Professionals
3954 Murphy Canyon Rd Ste
D105
San Diego, CA 92123
(858) 569-0056
Affiliated Group(s): Aefct
Board Certified: No
Giordano, Heather BCBA
Behavioral Analyst
Gender: Male
NPI: 1336484435
License: BCBA11211632
License Type: Mental Health
Professionals
4540 Kearny Villa Rd Ste 109
San Diego, CA 92123
(888) 320-1272
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): California
Psychcare Inc
Board Certified: Yes
Gruenberg, Harlee BCBA
Behavioral Analyst
Gender: Female
NPI: 1982069266
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Hang, Tiffany BCBA
Behavioral Analyst
Gender: Female
NPI: 1588021323
License: BCBA11312847
License Type: Mental Health
Professionals
11590 W Bernardo Ct Ste 100
San Diego, CA 92127
(858) 432-4769
Affiliated Group(s): Sunny
Days Of California Inc
Board Certified: No
San Diego
Harris, Vanessa BCBA
Behavioral Analyst
Gender: Female
NPI: 1821430760
License: BCBA0135432
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Heimbach, Kali BCBA
Behavioral Analyst
Gender: Female
NPI: 1124459334
License: BCBA11315004
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Hinzo, Lindsey BCBA
Behavioral Analyst
NPI: 1013251651
License: BCABA0114296
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Hokanson, Ashley BCBA
Behavioral Analyst
Gender: Female
NPI: 1053746685
License: BCBA11313901
License Type: Mental Health
Professionals
3110 Camino Del Rio South Ste
307
San Diego, CA 92108
(619) 795-9925
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Aba And
Vb Group, Autism Outreach
Southern California Llc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
156
Behavioral Health and Substance Use
San Diego
Hokanson, Ashley BCBA
Behavioral Analyst
Gender: Female
NPI: 1053746685
License: BCBA11313901
License Type: Mental Health
Professionals
4455 Murphy Canyon Rd
San Diego, CA 92123
(619) 281-6067
Affiliated Group(s): Aba And
Vb Group, Autism Outreach
Southern California Llc
Board Certified: No
Huoh, Karen BCBA
Behavioral Analyst
NPI: 1053791582
License: BCBA11313079
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Joe, Jaclyn M BCBA
Behavioral Analyst
Gender: Female
NPI: 1003291972
License: BCBA11518756
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Junker, Melissa BCBA
Behavioral Analyst
Gender: Female
NPI: 1497009047
License: BCBA11410200
License Type: Mental Health
Professionals
9445 Farnham St Ste 104
San Diego, CA 92123
(866) 278-1520
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Kashinath, Samyutha BCBA
Liu, Hedy BCBA
Behavioral Analyst
Gender: Female
NPI: 1699170068
License: BCBA11416816
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Koch, David BCBA
Behavioral Analyst
Gender: Male
NPI: 1114383650
License: BCBA11621915
License Type: Mental Health
Professionals
3443 Camino Del Rio South Ste
301
San Diego, CA 92108
(858) 444-8823
Affiliated Group(s): Peoples
Care Autism Services Inc
Board Certified: No
Lapin, Carly BCBA
Behavioral Analyst
Gender: Female
NPI: 1720486681
License: BCBA11518245
License Type: Mental Health
Professionals
3731 6th Ave Ste 100
San Diego, CA 92103
(619) 278-0884
Affiliated Group(s): Aces
Board Certified: No
Link, Heather BCBA
Behavioral Analyst
Gender: Female
NPI: 1740544485
License: BCBA11211810
License Type: Mental Health
Professionals
500 W 190th St
San Diego, CA 92123
(866) 278-1520
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Behavioral Analyst
Gender: Female
NPI: 1215319959
License: BCBA11518219
License Type: Mental Health
Professionals
3731 Sixth Ave Ste 100
San Diego, CA 92103
(619) 278-0884
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Aces
Board Certified: No
Lopez, Stephanie BCBA
Behavioral Analyst
Gender: Female
NPI: 1497090526
License: BCABA0114382
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Lovelace, Kevin BCBA
Behavioral Analyst
Gender: Male
NPI: 1821475658
License: BCBA11417541
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): California
Psychcare Inc, Positive
Behavior Supports Corp
Board Certified: No
Luna, Maria BCBA
Behavioral Analyst
Gender: Female
NPI: 1215202676
License: BCBA11210097
License Type: Mental Health
Professionals
10065 Old Grove Rd Ste 200
San Diego, CA 92131
(858) 444-8823
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Fred Finch
Youth Center Cares - San Diego
Board Certified: No
Physician's Language(s):
Spanish
San Diego
Macabasco, Kevin BCBA
Behavioral Analyst
Gender: Male
NPI: 1790168730
License: BCBA11518665
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Manners Calderon, Fiona
BCBA
Behavioral Analyst
NPI: 1235598889
License: BCBA11518469
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Martinez, Andrea BCBA
Behavioral Analyst
NPI: 1255596227
License: BCBA0072414
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Meyer, Nicole BCBA
Behavioral Analyst
Gender: Female
NPI: 1184066037
License: BCBA11313873
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
157
Behavioral Health and Substance Use
San Diego
Miranda, Yesenia BCBA
Behavioral Analyst
Gender: Female
NPI: 1992108575
License: BCBA10062
License Type: Mental Health
Professionals
9445 Farnham St Ste 104
San Diego, CA 92123
(858) 598-2693
Mon-Sat 8:00 am-8:00 pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Physician's Language(s):
Spanish
Monclus, Brittany BCBA
Behavioral Analyst
Gender: Female
NPI: 1356894109
License: BCBA11622800
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Nelson, Sarah BCBA
Behavioral Analyst
Gender: Female
NPI: 1124381009
License: BCBA11313658
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Oliver, Janet M BCBA
Behavioral Analyst
Gender: Female
NPI: 1194167155
License: BCBA11519940
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Olson, Margrit BCBA
Ponce, Angie BCBA
Behavioral Analyst
Gender: Female
NPI: 1992190466
License: BCBA11518321
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Parent, Chelsie BCBA
Behavioral Analyst
NPI: 1104238021
License: BCBA 11415696
License Type: Mental Health
Professionals
4455 Murphy Canyon Rd
San Diego, CA 92123
(619) 281-6067
Affiliated Group(s): Aba And
Vb Group
Board Certified: No
Park, Sage BCBA
Behavioral Analyst
NPI: 1699116699
License: BCBA11314022
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Penaloza, Alan BCBA
Behavioral Analyst
Gender: Male
NPI: 1467836544
License: BCBA11518853
License Type: Mental Health
Professionals
4540 Kearny Villa Rd Ste 109
San Diego, CA 92123
(888) 320-1272
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): California
Psychcare Inc
Board Certified: No
Behavioral Analyst
Gender: Female
NPI: 1689037913
License: BCBA11621643
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Prindle, Joe BCBA
Behavioral Analyst
Gender: Male
NPI: 1881000453
License: BCBA11416201
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Rees, Meredith BCBA
Behavioral Analyst
NPI: 1992249502
License: BCBA11624461
License Type: Mental Health
Professionals
4719 Viewridge Ave Ste 100
San Diego, CA 92123
(866) 278-1520
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Renner, Anahita BCBA
Behavioral Analyst
Gender: Female
NPI: 1275896607
License: BCBA1041573
License Type: Mental Health
Professionals
11622 El Camino Real Ste 100
San Diego, CA 92130
(949) 457-9203
Affiliated Group(s): Autism
Interventions And Resources
Inc
Board Certified: No
San Diego
Renner, Anahita BCBA
Behavioral Analyst
Gender: Female
NPI: 1275896607
License: BCBA1041573
License Type: Mental Health
Professionals
5755 Oberlin Dr Ste 301
San Diego, CA 92121
(855) 257-5621
Affiliated Group(s): Autism
Interventions And Resources
Inc
Board Certified: No
Roberts, Elizabeth BCBA
Behavioral Analyst
Gender: Female
NPI: 1487929287
License: BCBA11210321
License Type: Mental Health
Professionals
4719 Viewridge Ave Ste 100
San Diego, CA 92123
(866) 278-1520
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Schardt, Joanna BCBA
Behavioral Analyst
Gender: Female
NPI: 1083158687
License: BCBA11624442
License Type: Mental Health
Professionals
4719 Viewridge Ave Ste 100
San Diego, CA 92123
(866) 278-1520
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Solonar, Bree BCBA
Behavioral Analyst
Gender: Female
NPI: 1902096803
License: BCBA11415633
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
158
Behavioral Health and Substance Use
San Diego
Spears, Christina BCBA
Behavioral Analyst
Gender: Female
NPI: 1447610902
License: BCBA11521305
License Type: Mental Health
Professionals
3731 Sixth Ave Ste 100
San Diego, CA 92103
(619) 278-0884
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Aces
Board Certified: No
Stone, Michele BCBA
Behavioral Analyst
Gender: Female
NPI: 1558634881
License: BCBA1118710
License Type: Mental Health
Professionals
9445 Farnham St Ste 104
San Diego, CA 92123
(858) 598-2693
Mon-Sat 8:00 am-8:00 pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Struhs, Stacy BCBA
Behavioral Analyst
Gender: Female
NPI: 1063870897
License: BCBA11520042
License Type: Mental Health
Professionals
4455 Murphy Canyon Rd
San Diego, CA 92123
(619) 281-6067
Affiliated Group(s): Aba And
Vb Group
Board Certified: No
Swain, Jazmina BCBA
Behavioral Analyst
Gender: Female
NPI: 1144618117
License: BCBA11417031
License Type: Mental Health
Professionals
9445 Farnham St Ste 104
San Diego, CA 92123
(858) 598-2693
Mon-Sat 8:00 am-8:00 pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Tarris, Jennifer H BCBA
Trulich, Kristen BCBA
Behavioral Analyst
Gender: Female
NPI: 1528425253
License: BCBA11416052
License Type: Mental Health
Professionals
563 Balboa Ave Ste 521
San Diego, CA 92111
(855) 832-6727
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Positive
Behavior Supports Corp
Board Certified: No
Tarter, Laurie BCBA
Behavioral Analyst
Gender: Female
NPI: 1275968166
License: BCBA11518038
License Type: Mental Health
Professionals
11590 W Bernardo Ct Ste 100
San Diego, CA 92127
(858) 432-4749
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Sunny
Days Of California Inc
Board Certified: No
Textoris, Jessica BCBA
Behavioral Analyst
Gender: Female
NPI: 1306185186
License: BCBA11212498
License Type: Mental Health
Professionals
4455 Murphy Canyon Rd
San Diego, CA 92123
(619) 281-6067
Affiliated Group(s): Aba And
Vb Group
Board Certified: No
Tinjaca, Violeta BCBA
Behavioral Analyst
Gender: Female
NPI: 1497001655
License: BCBA11211661
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(619) 203-7447
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Behavioral Analyst
Gender: Female
NPI: 1497008668
License: BCBA11212252
License Type: Mental Health
Professionals
9445 Farnham St Ste 104
San Diego, CA 92123
(858) 598-2693
Mon-Sat 8:00 am-8:00 pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Tsai, Edwin BCBA
Behavioral Analyst
Gender: Male
NPI: 1255793626
License: BCBA11621742
License Type: Mental Health
Professionals
4540 Kearny Villa Rd Ste 109
San Diego, CA 92123
(888) 320-1272
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): California
Psychcare Inc
Board Certified: No
Uribio, Gabriela BCBA
Behavioral Analyst
Gender: Female
NPI: 1750744694
License: BCBA11621965
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Wilson, Lynn A BCBA
Behavioral Analyst
Gender: Female
NPI: 1902164643
License: BCBA1000302
License Type: Mental Health
Professionals
4455 Murphy Canyon Rd
San Diego, CA 92123
(619) 281-6067
Affiliated Group(s): Aba And
Vb Group
Board Certified: No
San Diego
Wood, Madison BCBA
Behavioral Analyst
Gender: Female
NPI: 1952756702
License: BCBA11621802
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Xie, Siqi BCBA
Behavioral Analyst
Gender: Female
NPI: 1578914834
License: BCBA11622738
License Type: Mental Health
Professionals
9445 Farnham St Ste 104
San Diego, CA 92123
(866) 278-1520
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Autism
Spectrum Therapies Inc
Board Certified: No
Yates, Kaitlin BCBA
Behavioral Analyst
Gender: Female
NPI: 1871954503
License: BCBA11623609
License Type: Mental Health
Professionals
3443 Camino Del Rio S Ste 300
San Diego, CA 92108
(866) 351-8887
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Peoples
Care Autism Services Inc
Board Certified: No
Young, Rachael S BCBA
Behavioral Analyst
Gender: Female
NPI: 1346607991
License: BCBA11621578
License Type: Mental Health
Professionals
3443 Camino Del Rio South Ste
301
San Diego, CA 92108
(619) 201-2010
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Peoples
Care Autism Services Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
159
Behavioral Health and Substance Use
San Marcos
SAN MARCOS
Barmakian, Heather BCBA
Behavioral Analyst
NPI: 1891950861
License: BCBA1073668
License Type: Mental Health
Professionals
334 Via Vera Cruz Ste 107
San Marcos, CA 92078
(760) 304-5010
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Bentley, Jessica BCBA
Behavioral Analyst
Gender: Female
NPI: 1760844021
License: BCBA11622070
License Type: Mental Health
Professionals
334 Via Vera Cruz Ste 107
San Marcos, CA 92078
(760) 304-5010
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Marshall, Jessi BCBA
Behavioral Analyst
Gender: Female
NPI: 1255596235
License: BCBA0072265
License Type: Mental Health
Professionals
334 Via Vera Cruz Ste 107
San Marcos, CA 92078
(760) 304-5010
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Piper, Miranda BCBA
Behavioral Analyst
NPI: 1659752780
License: BCBA11518087
License Type: Mental Health
Professionals
334 Via Vera Cruz Ste 107
San Marcos, CA 92078
(760) 304-5010
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Rogers, Carly BCBA
Postlethwaite, Alejandra MD
Behavioral Analyst
Gender: Female
NPI: 1750727905
License: BCBA0146158
License Type: Mental Health
Professionals
334 Via Vera Cruz Ste 107
San Marcos, CA 92078
(760) 304-5010
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Child & Adolescent
Psychiatry
LA JOLLA
Hirst, Jeremy M MD
Child & Adolescent Psychiatry
Gender: Male
NPI: 1073563714
License: A85801
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
SAN DIEGO
Hirst, Jeremy M MD
Child & Adolescent Psychiatry
Gender: Male
NPI: 1073563714
License: A85801
License Type: Mental Health
Professionals
3020 Childrens Way
San Diego, CA 92123
(619) 688-1600
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Child & Adolescent Psychiatry
Gender: Female
NPI: 1750566915
License: A88938
License Type: Mental Health
Professionals
3665 Kearny Villa Rd Ste 101
San Diego, CA 92123
(858) 966-5832
Mon-Fri 9:00 am-6:00 pm, Sat
9:00 am-2:00 pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
SAN YSIDRO
Fajerman, Leon MD
Child & Adolescent Psychiatry
Gender: Male
NPI: 1992843270
License: A33156
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Clinical
Neuropsychologist
LA JOLLA
Delano-wood, Lisa M PHD
Clinical Neuropsychologist
Gender: Female
NPI: 1902064561
License: PSY25724
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C 207
La Jolla, CA 92037
(858) 534-8730
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
La Jolla
SAN DIEGO
Gupta, Saurabh PHD
Clinical Neuropsychologist
Gender: Male
NPI: 1356637185
License: PSY24218
License Type: Mental Health
Professionals
8775 Aero Dr Ste 238
San Diego, CA 92123
(619) 629-7272
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Southern
California Psychology Centers
Apc
Board Certified: No
Clinical Psychologist
LA JOLLA
Camenzuli, Lorraine F PHD
Clinical Psychologist
Gender: Female
NPI: 1104232602
License: PSY10846
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste B208
La Jolla, CA 92037
(818) 632-8152
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Lorraine F
Camenzuli Phd
Board Certified: No
Gooding, Amanda L PHD
Clinical Psychologist
Gender: Female
NPI: 1265840755
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C207
La Jolla, CA 92037
(858) 534-7792
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Gooding, Amanda L PHD
Clinical Psychologist
Gender: Female
NPI: 1265840755
License Type: Mental Health
Professionals
9300 Campus Point Dr Inpatient
La Jolla, CA 92037
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
160
Behavioral Health and Substance Use
National City
Hanson Bondi, Karen L PHD
Clinical Psychologist
Gender: Female
NPI: 1073815072
License: PS23561Y
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C207
La Jolla, CA 92037
(858) 534-8730
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Hanson Bondi, Karen L PHD
Clinical Psychologist
Gender: Female
NPI: 1073815072
License: PS23561Y
License Type: Mental Health
Professionals
9500 Gilman Dr 2nd Fl Ste
2069
La Jolla, CA 92093
(858) 534-1213
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Harle, Katia PHD
Clinical Psychologist
Gender: Female
NPI: 1629362298
License: PYS28324
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C207
La Jolla, CA 92037
(858) 534-8730
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French
Harle, Katia PHD
Clinical Psychologist
Gender: Female
NPI: 1629362298
License: PYS28324
License Type: Mental Health
Professionals
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Zlatar, Zvinka Z PHD
Pointer, Sara PHD
Clinical Psychologist
NPI: 1497139059
License: PSY26230
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C207
La Jolla, CA 92037
(858) 534-7792
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
NATIONAL CITY
Liefland, Lauren E PHD
Clinical Psychologist
Gender: Female
NPI: 1629120803
License: PSY14785
License Type: Mental Health
Professionals
2345 E 8th St Ste 103
National City, CA 91950
(619) 267-9108
Affiliated Group(s): Lauren E
Liefland Phd
Board Certified: No
SAN DIEGO
Guardado Soto, Raquel E PHD
Clinical Psychologist
Gender: Female
NPI: 1194999276
License: PSY26883
License Type: Mental Health
Professionals
6973 Linda Vista Rd
San Diego, CA 92111
(858) 810-8787
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Guardado Soto, Raquel E PHD
Clinical Psychologist
Gender: Female
NPI: 1194999276
License: PSY26883
License Type: Mental Health
Professionals
7011 Linda Vista Rd
San Diego, CA 92111
(858) 810-8700
Mon-Fri 8:30am-5:30pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Clinical Psychologist
Gender: Female
NPI: 1245493014
License: PSY26036
License Type: Mental Health
Professionals
4715 Viewridge Ave Ste 230
San Diego, CA 92123
(800) 257-8715
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc, Vericare
Board Certified: No
Renwick, Gordon PHD
Clinical Psychologist
Gender: Male
NPI: 1679581953
License: PSY16183
License Type: Mental Health
Professionals
4656 30th St
San Diego, CA 92116
(619) 218-9181
Affiliated Group(s): Gordon
Renwick Psyd
Board Certified: No
Riedlinger, Blaise M PHD
Clinical Psychologist
Gender: Male
NPI: 1093861437
License: PSY13030
License Type: Mental Health
Professionals
2810 Camino Del Rio S Ste 102
San Diego, CA 92108
(858) 358-1419
Mon-Fri 7:30 am-4:00 pm
Affiliated Group(s): Senior
Medical Associates Inc
Board Certified: No
Seldin, Fredric PHD
Clinical Psychologist
Gender: Male
NPI: 1326318346
License: PSY20365
License Type: Mental Health
Professionals
7840 Mission Center Ct Ste 102
San Diego, CA 92108
(619) 813-5923
Affiliated Group(s): Fredric A
Seldin Phd
Board Certified: No
SAN MARCOS
Vista
Cook, Sheryl Glenn PHD
Clinical Psychologist
Gender: Female
NPI: 1750420816
License: PSY15449
License Type: Mental Health
Professionals
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-8:00pm, Sat
8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
SAN YSIDRO
Wijayaratne, Imanie S PHD
Clinical Psychologist
Gender: Female
NPI: 1932358355
License: PSY25044
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
VISTA
Berenson, Laurie E PHD
Clinical Psychologist
Gender: Female
NPI: 1104956556
License Type: Mental Health
Professionals
380 S Melrose Dr Ste 335
Vista, CA 92081
(760) 224-4333
Affiliated Group(s): Laurie
Ellen Berenson Psy
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
161
Behavioral Health and Substance Use
San Diego County
Alpine
Clinical Social Worker
ALPINE
White-voth, Charity LCSW
Clinical Social Worker
Gender: Female
NPI: 1659655702
License: ASW21136
License Type: Mental Health
Professionals
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Accessibility: Limited, IB, P, W,
R, E
CHULA VISTA
Segal, Nina J LCSW
Clinical Social Worker
Gender: Female
NPI: 1134495633
License Type: Mental Health
Professionals
248 Landis Ave
Chula Vista, CA 91910
(619) 515-2338
Mon-Tue 5:30 am-5:30 pm,
Thu 5:30 am-12:30 pm, Fri 5:30
am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
EL CAJON
Christensen, Melissa A LCSW
Clinical Social Worker
Gender: Female
NPI: 1922313394
License Type: Mental Health
Professionals
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
ESCONDIDO
Thomas, Paula M LCSW
Clinical Social Worker
Gender: Female
NPI: 1821389966
License: LCS29517
License Type: Mental Health
Professionals
1001 E Grand Ave
Escondido, CA 92025
(760) 520-8200
Mon-Fri 8:00am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Thomas, Paula M LCSW
Clinical Social Worker
Gender: Female
NPI: 1821389966
License: LCS29517
License Type: Mental Health
Professionals
425 N Date St
Escondido, CA 92025
(760) 520-8330
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
IMPERIAL BEACH
Fernandez, Abel LCSW
Clinical Social Worker
Gender: Male
NPI: 1336281948
License: LCS11015
License Type: Mental Health
Professionals
949 Palm Ave
Imperial Beach, CA 91932
(619) 429-3733
Mon-Thu 8:00am-8:00pm, Fri
8:00am-5:00pm, Sat
8:00am-12:00pm
Affiliated Group(s): Imperial
Beach Community Clinic
Board Certified: No
LA JOLLA
Evans, Briana LCSW
Clinical Social Worker
Gender: Female
NPI: 1497705495
License: LCS22041
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste B225
La Jolla, CA 92037
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
OCEANSIDE
Zappone, Alida LCSW
Clinical Social Worker
Gender: Female
NPI: 1154705598
License: LCS26061
License Type: Mental Health
Professionals
4700 N River Rd
Oceanside, CA 92057
(760) 631-5000
Affiliated Group(s): Vista
Community Clinic
Board Certified: No
SAN DIEGO
Buby, Myra LCSW
Clinical Social Worker
Gender: Female
NPI: 1093747511
License: LCS23172
License Type: Mental Health
Professionals
2204 National Ave
San Diego, CA 92113
(619) 515-2355
Mon 8:00am-5:00pm, Tue-Wed
8:00am-8:00pm, Thu-Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Caetano Francy, Izabel LCSW
Clinical Social Worker
Gender: Female
NPI: 1740450659
License: LCS28798
License Type: Mental Health
Professionals
3132 Jefferson St
San Diego, CA 92110
(619) 683-3100
Affiliated Group(s): Telecare
Gateway To Recovery
Board Certified: No
San Diego
Christensen, Melissa A LCSW
Clinical Social Worker
Gender: Female
NPI: 1922313394
License Type: Mental Health
Professionals
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Coleman, Joren A LCSW
Clinical Social Worker
Gender: Female
NPI: 1932534146
License Type: Mental Health
Professionals
8775 Aero Dr Ste 238
San Diego, CA 92123
(619) 629-7272
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Southern
California Psychology Centers
Apc
Board Certified: No
Fantino, Ramona LCSW
Clinical Social Worker
Gender: Female
NPI: 1215191515
License Type: Mental Health
Professionals
1501 Imperial Ave
San Diego, CA 92101
(619) 233-8500
Mon-Fri 8:30am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Goodlove, Glenn Putnam
LCSW
Clinical Social Worker
Gender: Male
NPI: 1356558266
License: LCS1450
License Type: Mental Health
Professionals
10749 Escobar Dr
San Diego, CA 92124
(858) 569-1248
Affiliated Group(s): Glenn
Putnam Goodlove Lcsw
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
162
Behavioral Health and Substance Use
San Marcos
Lawnick, Christina R LCSW
Clinical Social Worker
Gender: Female
NPI: 1558666388
License: LCSW30733
License Type: Mental Health
Professionals
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Starr, Donna LCSW
Clinical Social Worker
Gender: Female
NPI: 1831347434
License: LCS63733
License Type: Mental Health
Professionals
1455 Frazee Rd 5th Fl Ste 500
San Diego, CA 92108
(619) 455-9584
Affiliated Group(s): Donna
Starr Lcsw Dba Individual And
Family Therapy
Board Certified: No
Thickstun, Mary S LCSW
Clinical Social Worker
Gender: Female
NPI: 1437354875
License: LCS21573
License Type: Mental Health
Professionals
823 Gateway Center Way
San Diego, CA 92102
(858) 565-2150
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
SAN MARCOS
Colarusso, Michelle M LCSW
Clinical Social Worker
Gender: Female
NPI: 1568704807
License: MFC27130
License Type: Mental Health
Professionals
1132 San Marino Dr Ste 209
San Marcos, CA 92078
(760) 522-7158
Affiliated Group(s): Michelle
Colarusso
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Zagorsky, Elana R LCSW
VISTA
Clinical Social Worker
Zappone, Alida LCSW
Gender: Female
Clinical Social Worker
NPI: 1598995235
Gender: Female
License: LCS73040
NPI: 1154705598
License Type: Mental Health
License: LCS26061
Professionals
License Type: Mental Health
150 Valpreda Rd
Professionals
San Marcos, CA 92069
1000 Vale Terrace Dr
(760) 736-6767
Vista, CA 92084
Mon-Fri 8:00am-6:00pm
(760) 631-5000
Affiliated Group(s): Integrated
Mon-Fri 8:00 am-5:00 pm
Health Partners
Affiliated Group(s): Vista
Board Certified: No
Community Clinic
Physician's Language(s):
Board Certified: No
Spanish
SAN YSIDRO
Del Castillo, Lysette LCSW
Clinical Social Worker
Gender: Female
NPI: 1558438697
License: LCSW25873
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): San Ysidro
Health Center, Vantage Medical
Group
Board Certified: No
Garcia, Sofia LCSW
Clinical Social Worker
Gender: Female
NPI: 1568538502
License: LCS26664
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Valenzuela, Gloria M LCSW
Clinical Social Worker
Gender: Female
NPI: 1679653380
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Counselor
LA JOLLA
Andreasen, Tara MD
Counselor
Gender: Female
NPI: 1245368026
License: GC000292
License Type: Mental Health
Professionals
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Marriage & Family
Therapist
ALPINE
Cordova, Abby J MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1982957361
License: MFC51650
License Type: Mental Health
Professionals
4058 Willows Rd
Alpine, CA 91901
(619) 445-1188
Mon-Fri 8:00am-4:30pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
Accessibility: Limited, IB, P, W,
R, E
Chula Vista
CAMPO
Cordova, Abby J MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1982957361
License: MFC51650
License Type: Mental Health
Professionals
36350 Church Rd
Campo, CA 91906
(619) 478-2225
Mon 8:00 am-4:30 pm, Wed-Fri
8:00 am-4:30 pm
Affiliated Group(s): Southern
Indian Health Council Inc
Board Certified: No
CHULA VISTA
Corrales, Jesus E MFCC
Marriage & Family Therapist
Gender: Male
NPI: 1245389212
License: MFC27099
License Type: Mental Health
Professionals
282 Landis Ave
Chula Vista, CA 91910
(619) 691-1880
Affiliated Group(s): Motiva
Family Therapists And
Behavioral Services Inc
Board Certified: No
Fuentes West, Marysol MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1285770941
License: MFC39962
License Type: Mental Health
Professionals
815 Third Ave Ste 107
Chula Vista, CA 91911
(619) 422-7216
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): Marysol
Fuentes West Ma Mft
Board Certified: No
Guillen, Ernestina MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1952626178
License: MFT62235
License Type: Mental Health
Professionals
282 Landis Ave
Chula Vista, CA 91910
(619) 691-1880
Affiliated Group(s): Motiva
Family Therapists And
Behavioral Services Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
163
Behavioral Health and Substance Use
El Cajon
Savedra, Martina MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1811298763
License: MFT50647
License Type: Mental Health
Professionals
855 3rd Ave Ste 133
Chula Vista, CA 91910
(619) 498-6200
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Wigle, Charles E MFCC
Marriage & Family Therapist
Gender: Male
NPI: 1407911878
License: MFC29757
License Type: Mental Health
Professionals
282 Landis Ave
Chula Vista, CA 91910
(619) 691-1880
Affiliated Group(s): Motiva
Family Therapists And
Behavioral Services Inc
Board Certified: No
EL CAJON
Leonard, Jennifer A MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1285934802
License: MFC49120
License Type: Mental Health
Professionals
205 Claydelle Ave Ste 206
El Cajon, CA 92020
(619) 567-9627
Mon-Fri 8:00 am-5:00 pm, Sat
9:00 am-1:00 pm
Affiliated Group(s): Jennifer
Ann Leonard
Board Certified: No
ESCONDIDO
Ferguson, Karen MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1811291651
License Type: Mental Health
Professionals
1045 E Pennsylvania Ave
Escondido, CA 92025
(619) 201-2010
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Peoples
Care Autism Services Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
FALLBROOK
Guzman, Marianna MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1093025546
License Type: Mental Health
Professionals
577 E Elder St Ste B
Fallbrook, CA 92028
(760) 542-8002
Mon-Thu 5:00am-7:00pm, Sat
8:00am-5:00pm
Affiliated Group(s): Mariana
Guzman Lmft
Board Certified: No
LA JOLLA
Rukaj, Amber T MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1902952310
License: MFC47649
License Type: Mental Health
Professionals
8910 Villa La Jolla Dr Ste 200
La Jolla, CA 92037
(858) 657-8745
Mon-Tue 8:00am-5:00pm, Wed
8:00am-8:00pm, Thu-Fri
8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rukaj, Amber T MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1902952310
License: MFC47649
License Type: Mental Health
Professionals
9350 Campus Point Dr
La Jolla, CA 92037
(858) 657-8745
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Chevalier, Donna MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1518106012
License: MFC45461
License Type: Mental Health
Professionals
4700 Spring St Ste 307
La Mesa, CA 91942
(619) 328-1341
Affiliated Group(s): Donna
Chevalier Mft
Board Certified: No
NATIONAL CITY
Savedra, Martina MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1811298763
License: MFT50647
License Type: Mental Health
Professionals
1136 D Ave
National City, CA 91950
(619) 336-2300
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
POWAY
Fouts, Barbara A MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1790832327
License: MFC21397
License Type: Mental Health
Professionals
15525 Pomerado Rd Ste E4
Poway, CA 92064
(858) 395-0636
Affiliated Group(s): Dr Barbara
Fouts
Board Certified: No
RAMONA
Fouts, Barbara A MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1790832327
License: MFC21397
License Type: Mental Health
Professionals
1530 Main St Ste 5
Ramona, CA 92065
(626) 799-3886
Affiliated Group(s): Dr Barbara
Fouts
Board Certified: No
San Diego
SAN DIEGO
Evon, Kathie R MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1114364502
License: MFC327
License Type: Mental Health
Professionals
2667 Camino Del Rio S Ste
3019
San Diego, CA 92108
(909) 558-2383
Affiliated Group(s): Kathie
Renee Evon Mft
Board Certified: No
Gavin, Kelly L MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1932334802
License: MFC53865
License Type: Mental Health
Professionals
8775 Aero Dr Ste 238
San Diego, CA 92123
(619) 629-7272
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Southern
California Psychology Centers
Apc
Board Certified: No
Giancola, Michael MFCC
Marriage & Family Therapist
Gender: Male
NPI: 1982034831
License: MFC53346
License Type: Mental Health
Professionals
440 3rd Ave
San Diego, CA 92103
(619) 702-4186
Affiliated Group(s): Christies
Place Inc
Board Certified: No
Goddard, Daniel J MFCC
Marriage & Family Therapist
Gender: Male
NPI: 1942345145
License Type: Mental Health
Professionals
4065 Third Ave
San Diego, CA 92103
(619) 515-2419
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
164
Behavioral Health and Substance Use
San Diego
Grudzinski, Klarece L MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1316224413
License Type: Mental Health
Professionals
3333 Camino Del Rio South Ste
215
San Diego, CA 92108
(619) 850-2570
Affiliated Group(s): Klarece
Grudzinski Lmft
Board Certified: No
Physician's Language(s):
Spanish
James, Jenee MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1538602180
License Type: Mental Health
Professionals
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
James, Jenee MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1538602180
License Type: Mental Health
Professionals
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Jones, Jessica MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1821357146
License: MFC44896
License Type: Mental Health
Professionals
3132 Jefferson St
San Diego, CA 92110
(619) 683-3100
Affiliated Group(s): Telecare
Gateway To Recovery
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Lemminger, Vanessa L MFCC
Murphy, Erin MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1740623487
License Type: Mental Health
Professionals
3978 Sorrento Valley Blvd Ste
100
San Diego, CA 92121
(858) 764-2956
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Xcite Steps
Llc
Board Certified: No
Merrill, Sarah MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1639403884
License: MFC33576
License Type: Mental Health
Professionals
330 Lewis St Ste 400
San Diego, CA 92103
(619) 543-1899
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Merrill, Sarah MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1639403884
License: MFC33576
License Type: Mental Health
Professionals
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mullen, David T MFCC
Marriage & Family Therapist
Gender: Male
NPI: 1861720740
License: MFC32411
License Type: Mental Health
Professionals
1675 Morena Blvd
San Diego, CA 92110
(619) 275-8000
Affiliated Group(s): Telecare
Mental Health Collborative
Program
Board Certified: No
Marriage & Family Therapist
Gender: Female
NPI: 1063571925
License: MFC42623
License Type: Mental Health
Professionals
3544 30th St
San Diego, CA 92104
(619) 515-2424
Mon-Thu 8:30am-5:30pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Rosario, Victoria L MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1841498292
License: MFT52995
License Type: Mental Health
Professionals
16935 W Bernardo Dr Ste 108
San Diego, CA 92127
(619) 994-2799
Affiliated Group(s): Victoria L
Rosario Mft
Board Certified: No
Rukaj, Amber T MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1902952310
License: MFC47649
License Type: Mental Health
Professionals
4168 Front St
San Diego, CA 92103
(619) 543-3000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Savedra, Martina MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1811298763
License: MFT50647
License Type: Mental Health
Professionals
286 Euclid Ave Ste 308
San Diego, CA 92114
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
San Diego
Sciacchitano, Stacey A MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1710230396
License: MFC52234
License Type: Mental Health
Professionals
10065 Old Grove Rd Ste 200
San Diego, CA 92131
(858) 566-6439
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Fred Finch
Youth Center Cares - San Diego
Board Certified: No
Searcy, Meagan MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1780986554
License: IMF65350
License Type: Mental Health
Professionals
7297 Ronson Rd Ste H
San Diego, CA 92111
(858) 278-6603
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
Spahr, Christie C MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1295085736
License: MFC51792
License Type: Mental Health
Professionals
4065 3rd Ave
San Diego, CA 92103
(619) 515-2419
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Staunton, James MFCC
Marriage & Family Therapist
Gender: Male
NPI: 1821134677
License: MFC43811
License Type: Mental Health
Professionals
3636 4th Ave Ste 205
San Diego, CA 92103
(619) 203-6307
Affiliated Group(s): James
Staunton Mft
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
165
Behavioral Health and Substance Use
San Marcos
Tangtheinkul, Tina MFCC
Marriage & Family Therapist
NPI: 1093041196
License: MFC51769
License Type: Mental Health
Professionals
11590 W Bernardo Ct Ste 100
San Diego, CA 92127
(858) 432-4749
Mon-Fri 8:30 am-5:00 pm
Affiliated Group(s): Sunny
Days Of California Inc
Board Certified: No
Tobin, Anastacia C MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1669829891
License: MFC92631
License Type: Mental Health
Professionals
9333 Genesee Ave Ste 200
San Diego, CA 92121
(858) 657-8600
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Greek
Tobin, Anastacia C MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1669829891
License: MFC92631
License Type: Mental Health
Professionals
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s): Greek
Webber, Karey R MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1558756585
License Type: Mental Health
Professionals
330 Lewis St Ste 301
San Diego, CA 92103
(858) 246-1612
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Woods, Mary MFCC
VALLEY CENTER
Marriage & Family Therapist
Karp, Michael MFCC
Gender: Female
Marriage & Family Therapist
NPI: 1124100193
Gender: Male
License: MFC33603
NPI: 1376588541
License Type: Mental Health
License: MFC16939
Professionals
License Type: Mental Health
3132 Jefferson St
Professionals
San Diego, CA 92110
12115 Mesa Verde
(619) 683-3100
Valley Center, CA 92082
Affiliated Group(s): Telecare
(760) 913-9003
Gateway To Recovery
Affiliated Group(s): Michael
Board Certified: No
Karp Lmft Lpcc
Board Certified: No
SAN MARCOS
Hill, Mary L MFCC
Psychiatric Hospital
Marriage & Family Therapist
Gender: Female
NPI: 1609264761
License: MFC83383
License Type: Mental Health
Professionals
1650 Linda Vista Dr Ste 210
San Marcos, CA 92078
(760) 687-9883
Affiliated Group(s): Mary Lee
Hill
Board Certified: No
Moran, Jessica MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1063757920
License Type: Mental Health
Professionals
334 Via Vera Cruz Ste 107
San Marcos, CA 92078
(760) 304-5010
Affiliated Group(s): Center For
Autism And Related Disorders
Inc
Board Certified: No
SAN YSIDRO
Savedra, Martina MFCC
Marriage & Family Therapist
Gender: Female
NPI: 1811298763
License: MFT50647
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
LA MESA
Alvarado Parkway Institute
Behavior Health Systems
Psychiatric Hospital
NPI: 1477969970
License: 080000079
License Type: Mental Health
Professionals
7050 Pkwy Dr
La Mesa, CA 91942
(619) 465-4411
Board Certified: No
SAN DIEGO
Aurora Behavioral Health Care
San Diego
Psychiatric Hospital
NPI: 1598722027
License: 080000310
License Type: Mental Health
Professionals
11878 Ave Of Industry
San Diego, CA 92128
(951) 549-8032
Board Certified: No
Psychiatric Unit
ESCONDIDO
Palomar Medical Center
Psychiatric Unit
NPI: 1063482412
License Type: Mental Health
Professionals
555 E Valley Pkwy
Escondido, CA 92025
(858) 675-5259
Affiliated Group(s): Palomar
Medical Center
Board Certified: No
San Diego
LA MESA
Grossmont Hospital-sharp
Psychiatric Unit
NPI: 1568445419
License: 080000006
License Type: Mental Health
Professionals
5555 Grossmont Center Dr
La Mesa, CA 91942
(619) 740-6000
Board Certified: No
OCEANSIDE
Tri City Crisis Unit
Psychiatric Unit
NPI: 1306392402
License Type: Mental Health
Professionals
4002 Vista Way
Oceanside, CA 92056
(760) 724-8411
Board Certified: No
POWAY
Palomar Pomerado Health
Psychiatric Unit
NPI: 1669442059
License Type: Mental Health
Professionals
15615 Pomerado Rd
Poway, CA 92064
(858) 613-4000
Affiliated Group(s): Palomar
Medical Center
Board Certified: No
SAN DIEGO
Scripps Mercy Hospital
Behavioral Health Unit
Psychiatric Unit
NPI: 1154308005
License Type: Mental Health
Professionals
4077 5th Ave
San Diego, CA 92103
(800) 690-9070
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
166
Behavioral Health and Substance Use
Chula Vista
Psychiatry
CHULA VISTA
Malak, Lawrence MD
Psychiatry
Gender: Male
NPI: 1467773028
License: A115345
License Type: Mental Health
Professionals
678 3rd Ave Ste B
Chula Vista, CA 91911
(619) 662-4100
Mon-Fri 8:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Ucsd Medical
Group
Board Certified: No
EL CAJON
Bhatia, Prakash MD
Psychiatry
Gender: Male
NPI: 1164464137
License: A74848
License Type: Mental Health
Professionals
161 E Main St Ste 100
El Cajon, CA 92020
(619) 631-0128
Affiliated Group(s): Bhatia
Health Svcs, Progressive Health
And Wellness
Board Certified: No
Sinno, Bassam A MD
Psychiatry
Gender: Male
NPI: 1982767893
License: C37831
License Type: Mental Health
Professionals
436 S Magnolia Ave Ste 102
El Cajon, CA 92020
(619) 401-7410
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s): Arabic
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Tartaglione, Joshua J DO
LA JOLLA
Psychiatry
Bhakta, Savita G MD
Gender: Male
Psychiatry
NPI: 1841567104
Gender: Female
License: 20A13109
NPI: 1326284480
License Type: Mental Health
License: A126487
Professionals
License Type: Mental Health
525 E Main St
Professionals
El Cajon, CA 92020
8950 Villa La Jolla Dr Ste C 207
(619) 515-2498
La Jolla, CA 92037
Mon-Fri 8:30 am-5:30 pm
(858) 534-8730
Affiliated Group(s): Family
Affiliated Group(s): Ucsd
Health Centers Of San Diego
Medical Group
Inc
Board Certified: No
Board Certified: No
Physician's Language(s): Hindi
ESCONDIDO
Hsu, Alan J MD
Psychiatry
Conte, Douglas R MD
Psychiatry
Gender: Male
Gender: Male
NPI: 1861636763
NPI: 1881714954
License: A13316
License: G69170
License Type: Mental Health
License Type: Mental Health
Professionals
Professionals
3855 Health Sciences Dr
1520 S Escondido Blvd
La Jolla, CA 92093
Escondido, CA 92025
(858) 822-6100
(760) 796-7760
Affiliated Group(s): Ucsd
Affiliated Group(s): Exodus
Medical Group
Recovery Inc
Board Certified: No
Board Certified: No
Paulus, Martin MD
Fertig, Patricia A DO
Psychiatry
Psychiatry
Gender: Male
Gender: Female
NPI: 1669498374
NPI: 1457642803
License: A053845
License: 20A14928
License Type: Mental Health
License Type: Mental Health
Professionals
Professionals
9500 Gilman Dr Ucsd, Osler
425 N Date St
Ln, Guava Bldg
Escondido, CA 92025
La Jolla, CA 92093
(760) 520-8200
(619) 497-6649
Mon-Fri 8:00 am-5:00 pm
Affiliated Hospital(s): Ucsd
Affiliated Group(s): Integrated
Medical Center
Health Partners
Affiliated Group(s): Ucsd
Board Certified: No
Medical Group
Board Certified: No
Tasic, Katarina MD
Psychiatry
Ribeiro Caldas Domingues,
Gender: Female
Isabel A MD
NPI: 1528185949
Psychiatry
License: A67158
Gender: Female
License Type: Mental Health
NPI: 1023367216
Professionals
License: A132160
425 N Date St
License Type: Mental Health
Escondido, CA 92025
Professionals
(760) 520-8330
8950 Villa La Jolla Ste C209
Mon-Fri 8:00am-5:00pm
La Jolla, CA 92037
Affiliated Group(s): Integrated
(619) 543-7795
Health Partners
Affiliated Group(s): Ucsd
Board Certified: Yes
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French, Portugese
Richtand, Neil M MD
La Jolla
Psychiatry
Gender: Male
NPI: 1063510824
License: G65199
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste 2243
La Jolla, CA 92037
(858) 534-6200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Shu, I Wei MD
Psychiatry
Gender: Male
NPI: 1992840144
License: A103813
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Soliman, Mounir A MD
Psychiatry
Gender: Male
NPI: 1790701050
License: A54520
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste B225
La Jolla, CA 92037
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tiamson-kassab, Maria MD
Psychiatry
Gender: Female
NPI: 1760425987
License: A49744
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-5381
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
167
Behavioral Health and Substance Use
La Mesa
Vardi, Kalya MD
Psychiatry
Gender: Female
NPI: 1730474768
License: A135721
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C207
La Jolla, CA 92037
(619) 543-7795
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
LA MESA
Allen, John W MD
Psychiatry
Gender: Male
NPI: 1659382588
License: C37706
License Type: Mental Health
Professionals
7200 Parkway Dr Ste 113
La Mesa, CA 91942
(619) 337-0455
Affiliated Group(s): John W
Allen Md Llc
Board Certified: No
Etchie, Samuel O MD
Psychiatry
Gender: Male
NPI: 1124039052
License: A53857
License Type: Mental Health
Professionals
7200 Parkway Dr Ste 113
La Mesa, CA 91942
(619) 337-0455
Affiliated Group(s): Samuel O
Etchie Md
Board Certified: No
Miller, Brian P MD
Psychiatry
Gender: Male
NPI: 1861411381
License: A68180
License Type: Mental Health
Professionals
5555 Grossmont Center Dr
La Mesa, CA 91942
(858) 939-4393
Affiliated Group(s): Brian P
Miller Md A Professional Corp
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Rao, Sanjay S MD
Bruns, Bryan E MD
Psychiatry
Gender: Male
NPI: 1407994288
License: A92683
License Type: Mental Health
Professionals
8851 Center Dr Ste 312
La Mesa, CA 91942
(619) 515-2383
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: Yes
Physician's Language(s): Telugu
SAN DIEGO
Ashbrook, Charles D MD
Psychiatry
Gender: Male
NPI: 1588703979
License: A99188
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Atkinson, Joseph H MD
Psychiatry
Gender: Male
NPI: 1467477653
License: G25819
License Type: Mental Health
Professionals
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Brolaski, George R MD
Psychiatry
Gender: Male
NPI: 1568502573
License: A20748
License Type: Mental Health
Professionals
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Psychiatry
Gender: Male
NPI: 1437184975
License: G29642
License Type: Mental Health
Professionals
9255 Towne Centre Dr Ste 370
San Diego, CA 92121
(858) 535-0091
Mon-Fri 9:00 am-4:00 pm
Affiliated Group(s): Bryan E
Bruns Md A Medical Corp
Board Certified: No
Chavez, Eric M MD
Psychiatry
Gender: Male
NPI: 1902813157
License: A67412
License Type: Mental Health
Professionals
770 Washington St Ste 200
San Diego, CA 92103
(858) 278-3636
Affiliated Group(s): Artemis
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Connor Jr, Willard W MD
Psychiatry
Gender: Male
NPI: 1871772129
License: A102033
License Type: Mental Health
Professionals
3020 Children's Way
San Diego, CA 92123
(858) 966-4936
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Conte, Douglas R MD
Psychiatry
Gender: Male
NPI: 1881714954
License: G69170
License Type: Mental Health
Professionals
2590 El Cajon Blvd
San Diego, CA 92104
(619) 528-1752
Affiliated Group(s): Exodus
Recovery Inc
Board Certified: No
Court, Maria C MD
San Diego
Psychiatry
Gender: Female
NPI: 1316196108
License: A113797
License Type: Mental Health
Professionals
950 South Euclid Ave
San Diego, CA 92114
(619) 736-6767
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Dimsdale, Joel MD
Psychiatry
Gender: Male
NPI: 1306877568
License: G28627
License Type: Mental Health
Professionals
415 Dickinson St
San Diego, CA 92103
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fukui, Tomonori MD
Psychiatry
Gender: Male
NPI: 1366519670
License: A75713
License Type: Mental Health
Professionals
1250 6th Ave Ste 100
San Diego, CA 92101
(619) 515-2430
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Fukui, Tomonori MD
Psychiatry
Gender: Male
NPI: 1366519670
License: A75713
License Type: Mental Health
Professionals
3544 30th St
San Diego, CA 92104
(619) 515-2424
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
168
Behavioral Health and Substance Use
San Diego
Gilbert, Patricia L MD
Psychiatry
Gender: Female
NPI: 1134160203
License: G67441
License Type: Mental Health
Professionals
4065 3rd Ave
San Diego, CA 92103
(619) 515-2419
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Goh Hattangadi, Suzanne MD
Psychiatry
Gender: Female
NPI: 1427176700
License: A93905
License Type: Mental Health
Professionals
3530 Camino Del Rio North
Ste 107
San Diego, CA 92108
(858) 304-6440
Affiliated Group(s): Pediatric
Neurology Therapeutics Pc
Board Certified: No
Grant, Igor MD
Psychiatry
Gender: Male
NPI: 1295750321
License: G18301
License Type: Mental Health
Professionals
415 Dickinson St
San Diego, CA 92103
(858) 534-7792
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Grelotti, David J MD
Psychiatry
Gender: Male
NPI: 1619003035
License: A133738
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-6350
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Grelotti, David J MD
Inamdar, Shashita MD
Psychiatry
Gender: Male
NPI: 1619003035
License: A133738
License Type: Mental Health
Professionals
200 W Arbor Dr 7th Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hadley, Allison MD
Psychiatry
Gender: Female
NPI: 1710027396
License: A97797
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hadley, Allison MD
Psychiatry
Gender: Female
NPI: 1710027396
License: A97797
License Type: Mental Health
Professionals
415 Dickinson St
San Diego, CA 92103
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hong, Jeanne MD
Psychiatry
Gender: Female
NPI: 1568678605
License: A95624
License Type: Mental Health
Professionals
3020 Children's Way
San Diego, CA 92123
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Psychiatry
Gender: Female
NPI: 1003861139
License: A102089
License Type: Mental Health
Professionals
4510 Executive Dr Ste 115
San Diego, CA 92121
(858) 427-5060
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Achieve
Medical Center
Board Certified: No
Physician's Language(s):
Spanish, Hindi
Jenkins, Willough MD
Psychiatry
Gender: Male
NPI: 1255730859
License: A132206
License Type: Mental Health
Professionals
3020 Childrens Way
San Diego, CA 92123
(858) 966-8800
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Keltner, John R MD
Psychiatry
Gender: Male
NPI: 1740447416
License: A71514
License Type: Mental Health
Professionals
4168 Front St
San Diego, CA 92103
(619) 543-3995
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Keri, Jason S MD
Psychiatry
Gender: Male
NPI: 1811915812
License: A82017
License Type: Mental Health
Professionals
12396 World Trade Dr Ste 106
San Diego, CA 92128
(858) 385-1419
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s): Senior
Medical Associates Inc
Board Certified: No
Kim, Daniel MD
San Diego
Psychiatry
Gender: Male
NPI: 1144394586
License: A87628
License Type: Mental Health
Professionals
200 W Arbor Dr 7th Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kim, Eunice MD
Psychiatry
Gender: Male
NPI: 1508095795
License: PSY21462
License Type: Mental Health
Professionals
410 Dickinson St Ste 100
San Diego, CA 92103
(619) 471-3877
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kistler, Jonathan MD
Psychiatry
Gender: Male
NPI: 1033161740
License: A73938
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Knight, Mark A MD
Psychiatry
Gender: Male
NPI: 1851573554
License: A94460
License Type: Mental Health
Professionals
1809 National Ave
San Diego, CA 92113
(619) 515-2512
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
169
Behavioral Health and Substance Use
San Diego
Knight, Mark A MD
Psychiatry
Gender: Male
NPI: 1851573554
License: A94460
License Type: Mental Health
Professionals
2204 National Ave
San Diego, CA 92113
(619) 515-2355
Mon 8:00am-5:00pm, Tue-Wed
8:00am-8:00pm, Thu-Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Knight, Mark A MD
Psychiatry
Gender: Male
NPI: 1851573554
License: A94460
License Type: Mental Health
Professionals
3020 Childrens Way
San Diego, CA 92123
(858) 966-8145
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Knight, Mark A MD
Psychiatry
Gender: Male
NPI: 1851573554
License: A94460
License Type: Mental Health
Professionals
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2444
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Koh, Steve H MD
Psychiatry
Gender: Male
NPI: 1467650473
License: A103468
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Lanouette, Nicole M MD
Magulac, Mark L MD
Psychiatry
Gender: Female
NPI: 1750490645
License: A89709
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French
Lanouette, Nicole M MD
Psychiatry
Gender: Female
NPI: 1750490645
License: A89709
License Type: Mental Health
Professionals
415 Dickinson St
San Diego, CA 92103
(858) 534-6200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French
Lee, Allen MD
Psychiatry
Gender: Male
NPI: 1508949652
License: A92801
License Type: Mental Health
Professionals
4550 Kearny Villa Rd Ste 116
San Diego, CA 92123
(858) 279-1223
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Lozano, Michelle I MD
Psychiatry
Gender: Female
NPI: 1598935736
License: A109562
License Type: Mental Health
Professionals
3132 Jefferson St
San Diego, CA 92110
(619) 683-3100
Affiliated Group(s): Telecare
Gateway To Recovery
Board Certified: No
Psychiatry
Gender: Male
NPI: 1427085661
License: G56157
License Type: Mental Health
Professionals
114400 W Bernado Ct Ste 300
San Diego, CA 92127
(858) 487-3330
Affiliated Group(s): Mark
Lyman Magulac Md A
Professional Corporation
Board Certified: Yes
Malak, Lawrence MD
Psychiatry
Gender: Male
NPI: 1467773028
License: A115345
License Type: Mental Health
Professionals
200 W Arbor Dr
San Diego, CA 92103
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Ucsd Medical
Group
Board Certified: No
Maxwell, Benjamin K MD
Psychiatry
Gender: Male
NPI: 1740415926
License: A108124
License Type: Mental Health
Professionals
3020 Childrens Wy
San Diego, CA 92123
(858) 966-8145
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mehra, Vishaal MD
Psychiatry
Gender: Male
NPI: 1144472754
License: A81407
License Type: Mental Health
Professionals
770 Washington St Ste 200
San Diego, CA 92103
(858) 278-3636
Affiliated Group(s): Artemis
Medical Group
Board Certified: No
San Diego
Narayanan, Priyamvada MD
Psychiatry
Gender: Female
NPI: 1346466067
License: C55875
License Type: Mental Health
Professionals
3132 Jefferson St
San Diego, CA 92110
(619) 683-3100
Affiliated Group(s): Telecare
Gateway To Recovery
Board Certified: No
Nezhadian, Frank MD
Psychiatry
Gender: Male
NPI: 1316030323
License: A50614
License Type: Mental Health
Professionals
5538 University Ave
San Diego, CA 92105
(619) 961-4583
Affiliated Group(s): Frank
Nezhadian Md A Professional
Corp
Board Certified: No
Nguyen, Hoang A MD
Psychiatry
Gender: Male
NPI: 1720011620
License: G083977
License Type: Mental Health
Professionals
200 W Arbor Dr 7th Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Panton, Diane G MD
Psychiatry
Gender: Female
NPI: 1831271816
License: G65512
License Type: Mental Health
Professionals
3132 Jefferson St
San Diego, CA 92110
(619) 683-3100
Affiliated Group(s): Telecare
Gateway To Recovery
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
170
Behavioral Health and Substance Use
San Diego
Paulus, Martin MD
Psychiatry
Gender: Male
NPI: 1669498374
License: A053845
License Type: Mental Health
Professionals
200 W Arbor Dr
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ribeiro Caldas Domingues,
Isabel A MD
Psychiatry
Gender: Female
NPI: 1023367216
License: A132160
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 534-7792
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish, French, Portugese
Salguero Galland, Mario L MD
Psychiatry
Gender: Male
NPI: 1487947826
License: A122101
License Type: Mental Health
Professionals
4060 Fairmount Ave
San Diego, CA 92105
(619) 584-1612
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Samadi, Hossein MD
Psychiatry
Gender: Male
NPI: 1124224324
License: A102190
License Type: Mental Health
Professionals
12396 World Trade Dr Ste 106
San Diego, CA 92128
(858) 385-1419
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s): Senior
Medical Associates Inc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Schwartz, Terry A MD
Shah, Ruchi MD
Psychiatry
Gender: Female
NPI: 1417003294
License: G81699
License Type: Mental Health
Professionals
4510 Executive Dr Ste 315
San Diego, CA 92121
(858) 534-8019
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Sepulveda, Joe A MD
Psychiatry
Gender: Male
NPI: 1306165402
License: A113283
License Type: Mental Health
Professionals
4094 4th Ave
San Diego, CA 92103
(619) 515-2545
Mon-Thu 8:00am-9:00pm, Fri
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Sewell, Daniel D MD
Psychiatry
Gender: Male
NPI: 1740206804
License: A44259
License Type: Mental Health
Professionals
200 W Arbor Dr 7th Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Shah, Ruchi MD
Psychiatry
Gender: Female
NPI: 1336585009
License: A134984
License Type: Mental Health
Professionals
2204 National Ave
San Diego, CA 92113
(619) 515-2355
Mon 8:00am-5:00pm, Tue-Wed
8:00am-8:00pm, Thu-Sat
8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Psychiatry
Gender: Female
NPI: 1336585009
License: A134984
License Type: Mental Health
Professionals
823 Gateway Center Wy
San Diego, CA 92102
(619) 515-2300
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Sheth, Manish V MD
Psychiatry
Gender: Male
NPI: 1225083272
License: C53102
License Type: Mental Health
Professionals
4510 Executive Dr Ste 115
San Diego, CA 92121
(858) 427-5060
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Achieve
Medical Center
Board Certified: No
Physician's Language(s):
Spanish, Hindi
Shih, Jerry J MD
Psychiatry
Gender: Male
NPI: 1790774156
License: G66909
License Type: Mental Health
Professionals
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3500
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
Shih, Jerry J MD
Psychiatry
Gender: Male
NPI: 1790774156
License: G66909
License Type: Mental Health
Professionals
4510 Executive Dr Ste 325
San Diego, CA 92121
(858) 657-8540
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Mandarin
Shu, I Wei MD
San Diego
Psychiatry
Gender: Male
NPI: 1992840144
License: A103813
License Type: Mental Health
Professionals
200 W Arbor Dr
San Diego, CA 92103
(858) 534-6200
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tadros, Emad G MD
Psychiatry
Gender: Male
NPI: 1487696878
License: A49500
License Type: Mental Health
Professionals
4060 4th Ave Ste 102
San Diego, CA 92103
(619) 800-7942
Affiliated Group(s): Emad
Guirgus Tadros Md
Board Certified: No
Taswell, Carl MD
Psychiatry
Gender: Male
NPI: 1679799266
License: G65826
License Type: Mental Health
Professionals
200 W Arbor Dr 7th Fl
San Diego, CA 92103
(619) 543-6222
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Thackaberry, Jessica MD
Psychiatry
Gender: Female
NPI: 1134478910
License: A128967
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7795
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
171
Behavioral Health and Substance Use
San Marcos
Toohey, Tara P MD
Psychiatry
Gender: Female
NPI: 1568655306
License: C130519
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Group(s): Ucsd
Medical Group
Board Certified: Yes
Torrente, Michael J DO
Psychiatry
Gender: Male
NPI: 1316957640
License: 20A3080
License Type: Mental Health
Professionals
3914 3rd Ave
San Diego, CA 92103
(619) 291-4808
Affiliated Group(s): Michael
Torrente Do
Board Certified: No
Trexler, Alison MD
Psychiatry
Gender: Female
NPI: 1003104704
License: A136881
License Type: Mental Health
Professionals
415 Dickinson St
San Diego, CA 92103
(619) 543-6350
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Trunko, Mary Ellen MD
Psychiatry
Gender: Female
NPI: 1477690220
License: A77144
License Type: Mental Health
Professionals
4510 Executive Dr Ste 315
San Diego, CA 92121
(858) 534-8019
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Walayat, Warris Richard MD
Greenberg, Martin MD
Psychiatry
Gender: Male
NPI: 1962502179
License: a97080
License Type: Mental Health
Professionals
5395 Ruffin Rd Ste 204
San Diego, CA 92123
(858) 571-3630
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Desert
Behavioral Health, Integrated
Mind Institute
Board Certified: No
SAN MARCOS
Hinojosa, Franz MD
Psychiatry
Gender: Male
NPI: 1043521412
License: C143410
License Type: Mental Health
Professionals
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
SAN YSIDRO
Brolaski, George R MD
Psychiatry
Gender: Male
NPI: 1568502573
License: A20748
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Psychiatry
Gender: Male
NPI: 1710016837
License: A23007
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: Yes
Physician's Language(s):
Spanish, French, German,
Swedish
Malak, Lawrence MD
Psychiatry
Gender: Male
NPI: 1467773028
License: A115345
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Integrated
Health Partners, Ucsd Medical
Group
Board Certified: No
VISTA
Conte, Douglas R MD
Psychiatry
Gender: Male
NPI: 1881714954
License: G69170
License Type: Mental Health
Professionals
524 W Vista Wy
Vista, CA 92083
(760) 758-1150
Affiliated Group(s): Exodus
Recovery Inc
Board Certified: No
Mills, Donna M MD
Alpine
Psychiatry
Gender: Female
NPI: 1831115658
License: A51160
License Type: Mental Health
Professionals
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Mon-Fri 9:00am-8:00pm, Sat
9:00am-4:00pm
Affiliated Group(s): Vista
Community Clinic
Board Certified: No
Physician's Language(s):
Spanish
Nawaz, Shajitha B MD
Psychiatry
Gender: Female
NPI: 1659476331
License: C54583
License Type: Mental Health
Professionals
550 W Vista Way Ste 109
Vista, CA 92083
(760) 305-4635
Affiliated Group(s): Exodus
Recovery Inc
Board Certified: No
Ringel, Brenda L MD
Psychiatry
Gender: Female
NPI: 1689869976
License: A065800
License Type: Mental Health
Professionals
524 W Vista Wy
Vista, CA 92083
(760) 758-1150
Affiliated Group(s): Exodus
Recovery Inc
Board Certified: No
Psychologist
ALPINE
Maness, Paula J PHD
Psychologist
Gender: Female
NPI: 1437312097
License: PSY23787
License Type: Mental Health
Professionals
1620 Alpine Blvd Ste 111
Alpine, CA 91901
(619) 445-6200
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
172
Behavioral Health and Substance Use
Campo
Reyes, Dara PHD
Psychologist
Gender: Female
NPI: 1114119591
License: PSY27297
License Type: Mental Health
Professionals
1620 Alpine Blvd Ste 116
Alpine, CA 91901
(619) 445-6200
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
CAMPO
Maness, Paula J PHD
Psychologist
Gender: Female
NPI: 1437312097
License: PSY23787
License Type: Mental Health
Professionals
31115 Highway 94
Campo, CA 91906
(619) 478-5311
Mon-Sat 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Reyes, Dara PHD
Psychologist
Gender: Female
NPI: 1114119591
License: PSY27297
License Type: Mental Health
Professionals
31115 Highway 94
Campo, CA 91906
(619) 478-5311
Mon-Sat 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Geyman, Joy PHD
CARLSBAD
Psychologist
Metevier, Daniel J PHD
Gender: Female
Psychologist
NPI: 1336243013
Gender: Male
License: PSY15492
NPI: 1376518316
License Type: Mental Health
License: PSY19748
Professionals
License Type: Mental Health
1201 S Orange Ave
Professionals
El Cajon, CA 92020
3150 El Camino Real Ste C
(866) 284-0482
Carlsbad, CA 92008
Affiliated Group(s): Concept
(760) 496-8941
Healthcare Psychology Group
Mon-Fri 9:00 am-3:00 pm
Inc
Affiliated Group(s): Daniel J
Board Certified: No
Metevier Psyd
Board Certified: No
Goldman, Marcie I PHD
CHULA VISTA
Dominguez Barros, Ines N
PHD
Psychologist
Gender: Female
NPI: 1518031376
License: PSY26075
License Type: Mental Health
Professionals
830 Scenic Terrace Pl
Chula Vista, CA 91914
(949) 955-2101
Affiliated Group(s): Access
Psychology Services Pc
Board Certified: No
Physician's Language(s):
Spanish
EL CAJON
Bohy, Nathan PHD
Psychologist
Gender: Male
NPI: 1255656617
License: PSY27810
License Type: Mental Health
Professionals
1111 W Chase Ave
El Cajon, CA 92020
(619) 515-2499
Mon-Fri 8:30am-5:30pm, Sat
8:30am-12:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s):
Spanish
Psychologist
Gender: Female
NPI: 1427150879
License Type: Mental Health
Professionals
510 E Washington Ave
El Cajon, CA 92020
(866) 284-0482
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc
Board Certified: No
Helmer, John R PHD
Psychologist
Gender: Male
NPI: 1093122608
License: PSY28837
License Type: Mental Health
Professionals
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Hybarger, Chad K PHD
Psychologist
NPI: 1235196411
License: PSY22867
License Type: Mental Health
Professionals
2160 Fletcher Pkwy Ste M
El Cajon, CA 92020
(619) 562-2130
Tue-Sat 10:00am-6:00pm
Affiliated Group(s): Family
Therapy Institute
Board Certified: No
Nemeth, Paul PHD
Encinitas
Psychologist
Gender: Male
NPI: 1568497212
License: PSY88660
License Type: Mental Health
Professionals
151 Claydelle Ave
El Cajon, CA 92020
(866) 284-0482
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc
Board Certified: No
O'bryan, Kelly PHD
Psychologist
Gender: Female
NPI: 1093882698
License Type: Mental Health
Professionals
525 E Main St
El Cajon, CA 92020
(619) 515-2498
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Presley, Arnold S PHD
Psychologist
Gender: Male
NPI: 1205017688
License: PSY23795
License Type: Mental Health
Professionals
510 E Washington Ave
El Cajon, CA 92020
(866) 284-0482
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc
Board Certified: No
ENCINITAS
Buckley, Lisa PHD
Psychologist
Gender: Female
NPI: 1699873976
License: PSY15155
License Type: Mental Health
Professionals
1991 Village Park Way Ste 202b
Encinitas, CA 92024
(760) 943-1226
Affiliated Group(s): Lisa
Buckley Phd
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
173
Behavioral Health and Substance Use
Escondido
ESCONDIDO
Amos, Ronald Dee PHD
Psychologist
Gender: Male
NPI: 1922171420
License: PSY10032
License Type: Mental Health
Professionals
1121 E Washington Ave
Escondido, CA 92025
(760) 871-0606
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Chao, Brian PHD
Psychologist
Gender: Male
NPI: 1114196987
License: PSY28796
License Type: Mental Health
Professionals
460 N Elm St
Escondido, CA 92025
(760) 520-8100
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Gordon, Denise PHD
Psychologist
Gender: Female
NPI: 1295971208
License: PSY223220
License Type: Mental Health
Professionals
1151 E Washington Ave Ste C
Escondido, CA 92025
(760) 871-0606
Mon-Fri 8:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
House, Sean PHD
Psychologist
Gender: Male
NPI: 1659524544
License: PSY25128
License Type: Mental Health
Professionals
201 N Fig St
Escondido, CA 92025
(619) 463-0294
Affiliated Group(s): Vericare
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Katyal, Radhika PHD
Alderman, Tracy PhD
Psychologist
Gender: Female
NPI: 1306089164
License: PSY26138
License Type: Mental Health
Professionals
460 N Elm St
Escondido, CA 92025
(760) 520-8100
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Vantage
Medical Group
Board Certified: No
Love-robles, Yvonne PHD
Psychologist
Gender: Female
NPI: 1902812811
License: PSY18321
License Type: Mental Health
Professionals
425 N Date St
Escondido, CA 92025
(760) 737-6935
Affiliated Group(s): Integrated
Health Partners, San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
LA JOLLA
Acheson, Dean PhD
Psychologist
Gender: Male
NPI: 1265790083
License: PSY23779
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr C207
La Jolla, CA 92037
(858) 334-4640
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Akshoomoff, Natacha PHD
Psychologist
Gender: Female
NPI: 1740315043
License: PSY17720
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C207
La Jolla, CA 92037
(858) 543-7792
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Psychologist
Gender: Female
NPI: 1497820278
License: PSY14300
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr C207
La Jolla, CA 92037
(858) 622-6170
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bondi, Mark PHD
Psychologist
Gender: Male
NPI: 1922030253
License: PSY13383
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Bondi, Mark PHD
Psychologist
Gender: Male
NPI: 1922030253
License: PSY13383
License Type: Mental Health
Professionals
Osler Lane Guava Bldg
La Jolla, CA 92093
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Cardenas, Veronica PHD
Psychologist
Gender: Female
NPI: 1598024572
License: PSY23660
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Filoteo, Julian V PHD
La Jolla
Psychologist
Gender: Male
NPI: 1841398187
License: PSY21505
License Type: Mental Health
Professionals
9500 Gliman Dr
La Jolla, CA 92093
(858) 642-1122
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Filoteo, Julian V PHD
Psychologist
Gender: Male
NPI: 1841398187
License: PSY21505
License Type: Mental Health
Professionals
Osler Lane Guava Bldg
La Jolla, CA 92093
(858) 534-1213
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Fiorentino, Lavinia PhD
Psychologist
Gender: Female
NPI: 1376800771
License: PSY24272
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Hammel, Meghan C PHD
Psychologist
Gender: Female
NPI: 1003246240
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C207
La Jolla, CA 92037
(858) 534-8730
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
174
Behavioral Health and Substance Use
La Jolla
Hickman, Steven PhD
Psychologist
Gender: Male
NPI: 1003873175
License: PSY16677
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Jak, Amy PHD
Psychologist
Gender: Female
NPI: 1326103771
License: PSY21113
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-1213
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Jak, Amy PHD
Psychologist
Gender: Female
NPI: 1326103771
License: PSY21113
License Type: Mental Health
Professionals
Osler Lane Guava Bldg
La Jolla, CA 92093
(858) 534-1213
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Kamat, Rujvi PHD
Psychologist
Gender: Female
NPI: 1447604806
License: PSY27582
License Type: Mental Health
Professionals
9500 Gillman Dr 2nd Floor Ste
2069
La Jolla, CA 92093
(858) 534-1213
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Physician's Language(s):
Gujarati, Hindi
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mausbach, Brent PHD
Minassian, Arpi PHD
Psychologist
Gender: Male
NPI: 1164847638
License: PSY21469
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste 2243
La Jolla, CA 92037
(858) 534-8730
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mcdonald, Carrie PhD
Psychologist
Gender: Female
NPI: 1629267000
License Type: Mental Health
Professionals
Osler Lane Guava Bldg
La Jolla, CA 92093
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Meier, Emily A PHD
Psychologist
Gender: Female
NPI: 1255530572
License: PSY25266
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-6100
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Meier, Emily A PHD
Psychologist
Gender: Female
NPI: 1255530572
License: PSY25266
License Type: Mental Health
Professionals
9300 Campus Point Dr
La Jolla, CA 92037
(619) 471-9186
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Psychologist
Gender: Female
NPI: 1003849613
License: PSY19639
License Type: Mental Health
Professionals
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Palmer, Barton PHD
Psychologist
Gender: Male
NPI: 1003046244
License: PSY13935
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste C 207
La Jolla, CA 92037
(858) 534-8730
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Rice, Valerie PhD
Psychologist
Gender: Female
NPI: 1508882655
License: PSY15353
License Type: Mental Health
Professionals
9300 Campus Point Dr
La Jolla, CA 92037
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Schiehser, Dawn PhD
Psychologist
Gender: Female
NPI: 1639331549
License: PSY 21483
License Type: Mental Health
Professionals
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 534-1213
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Schiehser, Dawn PhD
La Jolla
Psychologist
Gender: Female
NPI: 1639331549
License: PSY 21483
License Type: Mental Health
Professionals
Osler Lane Guava Bldg
La Jolla, CA 92093
(858) 534-1213
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Schindler, Mark E PHD
Psychologist
Gender: Male
NPI: 1689664278
License: PSY78150
License Type: Mental Health
Professionals
7486 La Jolla Blvd Ste 500
La Jolla, CA 92037
(858) 454-5588
Affiliated Group(s): Mark
Schindler Phd
Board Certified: No
Tayer, Wendy PhD
Psychologist
Gender: Female
NPI: 1619925583
License: PSY17201
License Type: Mental Health
Professionals
8950 Villa La Jolla Dr Ste B225
La Jolla, CA 92037
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Tayer, Wendy PhD
Psychologist
Gender: Female
NPI: 1619925583
License: PSY17201
License Type: Mental Health
Professionals
9300 Campus Point Dr
La Jolla, CA 92037
(858) 657-7000
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
175
Behavioral Health and Substance Use
La Mesa
San Diego County
LA MESA
Bull, James L PHD
Psychologist
Gender: Male
NPI: 1922194703
License: PSY10842
License Type: Mental Health
Professionals
5696 Lake Murray Blvd
La Mesa, CA 91942
(800) 257-8715
Affiliated Group(s): Vericare
Board Certified: No
Fellegvari, Irene PHD
Psychologist
Gender: Female
NPI: 1568538825
License: PSY46358
License Type: Mental Health
Professionals
7760 Parkway Dr
La Mesa, CA 91942
(800) 257-8715
Affiliated Group(s): Iren
Fellegvari, Vericare
Board Certified: No
Physician's Language(s):
Hungarian
Reghabi, Naseem PHD
Psychologist
Gender: Female
NPI: 1225573421
License Type: Mental Health
Professionals
8851 Center Dr Ste 312
La Mesa, CA 91942
(619) 515-2383
Mon-Fri 8:30am-5:30pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Physician's Language(s): Farsi
NATIONAL CITY
Cooper, Randi R PHD
Psychologist
Gender: Female
NPI: 1023037561
License: PSY22630
License Type: Mental Health
Professionals
1908 Sweetwater Rd
National City, CA 91950
(619) 327-0146
Affiliated Group(s): Randi R
Cooper Psyd
Board Certified: No
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Mejias, Juan C PHD
SAN DIEGO
Psychologist
Alderman, Tracy PhD
Gender: Male
Psychologist
NPI: 1558560730
Gender: Female
License: PSY26953
NPI: 1497820278
License Type: Mental Health
License: PSY14300
Professionals
License Type: Mental Health
217 Highland Ave
Professionals
National City, CA 91950
140 Arbor Dr
(619) 434-7308
San Diego, CA 92103
Mon-Fri 8:30 am-6:00 pm
(619) 543-7946
Affiliated Group(s): La Maestra Affiliated Hospital(s): Ucsd
Family Clinic Inc
Medical Center
Board Certified: No
Affiliated Group(s): Ucsd
Physician's Language(s):
Medical Group
Spanish
Board Certified: No
Welland-akong, Christauria
Bartlett, Jarvis J PHD
PHD
Psychologist
Psychologist
Gender: Male
Gender: Female
NPI: 1750731246
NPI: 1326099318
License: PSY13760
License: PSY17166
License Type: Mental Health
License Type: Mental Health
Professionals
Professionals
4065 West 3rd Ave
2400 E 4th St
San Diego, CA 92103
National City, CA 91950
(619) 515-2419
(619) 470-4321
Mon-Thu 8:00am-5:00pm
Affiliated Group(s): Christauria Affiliated Group(s): Family
Welland-akong
Health Centers Of San Diego
Board Certified: No
Inc
Board Certified: No
OCEANSIDE
Gutierrez, Veronica PHD
Bull, James L PHD
Psychologist
Gender: Female
NPI: 1467674176
License: PSY21413
License Type: Mental Health
Professionals
2210 Mesa Dr Ste 300
Oceanside, CA 92054
(760) 736-6767
Affiliated Group(s): North
County Health Services
Board Certified: No
Physician's Language(s):
Spanish
Hubbard, Catherine M PHD
Psychologist
Gender: Female
NPI: 1558415893
License: PSY25705
License Type: Mental Health
Professionals
3232 Thunder Dr
Oceanside, CA 92056
(866) 284-0482
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc
Board Certified: No
Psychologist
Gender: Male
NPI: 1922194703
License: PSY10842
License Type: Mental Health
Professionals
4033 6th Ave
San Diego, CA 92103
(800) 257-8715
Affiliated Group(s): Vericare
Board Certified: No
Calderon, Adrian PHD
Psychologist
Gender: Male
NPI: 1033374020
License: PSY24288
License Type: Mental Health
Professionals
1615 Murray Canyon Dr Ste
100
San Diego, CA 92108
(760) 485-1600
Affiliated Group(s): Access
Psychology Services Pc, Adrian
E Calderon Phd
Board Certified: No
Physician's Language(s):
Spanish
San Diego
Calderon, Adrian PHD
Psychologist
Gender: Male
NPI: 1033374020
License: PSY24288
License Type: Mental Health
Professionals
750 B St Ste 2870
San Diego, CA 92101
(619) 356-0378
Affiliated Group(s): Access
Psychology Services Pc, Adrian
E Calderon Phd
Board Certified: No
Physician's Language(s):
Spanish
Carlish, Michael PHD
Psychologist
Gender: Male
NPI: 1063771863
License: PSY24938
License Type: Mental Health
Professionals
2810 Camino Del Rio S Ste 102
San Diego, CA 92108
(858) 358-1419
Mon-Fri 7:30 am-4:00 pm
Affiliated Group(s): Senior
Medical Associates Inc
Board Certified: No
Cook, Donna C PHD
Psychologist
Gender: Female
NPI: 1245557024
License: C26999
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Corbett, Kimberly PHD
Psychologist
NPI: 1235239823
License: PSY21669
License Type: Mental Health
Professionals
4411 30th St Ste 101
San Diego, CA 92116
(619) 298-2098
Affiliated Group(s): Kimberly
Corbett Psyd A Psychological
Corp Dba Kimberly Corb
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
176
Behavioral Health and Substance Use
San Diego
Dehnel, Russell N PHD
Psychologist
Gender: Male
NPI: 1346526274
License: PSY12603
License Type: Mental Health
Professionals
5952 El Cajon Blvd
San Diego, CA 92115
(619) 229-8030
Affiliated Group(s): Alliance
Health Clinic Inc
Board Certified: No
Physician's Language(s):
Spanish, Hindi
Ene, Michaela PHD
Psychologist
Gender: Female
NPI: 1609013119
License: PSY17703
License Type: Mental Health
Professionals
10065 Old Grove Rd Ste 200
San Diego, CA 92131
(858) 566-6439
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Fred Finch
Youth Center Cares - Imperial,
Fred Finch Youth Center Cares
- San Diego, Fred Finch Youth
Center Cares - San Juan
Capistrano
Board Certified: No
Feinberg-gizzo, Monica J PHD
Psychologist
Gender: Male
NPI: 1720280092
License: PSY19064
License Type: Mental Health
Professionals
10065 Old Grove Rd Ste 200
San Diego, CA 92131
(858) 566-6439
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Fred Finch
Youth Center Cares - Imperial,
Fred Finch Youth Center Cares
- San Diego, Fred Finch Youth
Center Cares - San Juan
Capistrano, Novata Behavioral
Health
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Fellegvari, Irene PHD
Gleason, Sheila A PHD
Psychologist
Gender: Female
NPI: 1568538825
License: PSY46358
License Type: Mental Health
Professionals
5230 Carroll Canyon Ste 100
San Diego, CA 92121
(858) 353-8088
Affiliated Group(s): Iren
Fellegvari, Vericare
Board Certified: No
Physician's Language(s):
Hungarian
Fellegvari, Irene PHD
Psychologist
Gender: Female
NPI: 1568538825
License: PSY46358
License Type: Mental Health
Professionals
8515 Costa Verde Blvd
San Diego, CA 92122
(800) 257-8715
Affiliated Group(s): Iren
Fellegvari, Vericare
Board Certified: No
Physician's Language(s):
Hungarian
Filoteo, Julian V PHD
Psychologist
Gender: Male
NPI: 1841398187
License: PSY21505
License Type: Mental Health
Professionals
200 West Arbor Dr
San Diego, CA 92103
(619) 543-5754
Mon-Fri 9:00am-5:00pm
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Given, Jeannette PHD
Psychologist
Gender: Female
NPI: 1952529422
License: PSY12040
License Type: Mental Health
Professionals
4715 Viewridge Ave Ste 230
San Diego, CA 92123
(800) 257-8715
Affiliated Group(s): Vericare
Board Certified: No
Psychologist
Gender: Female
NPI: 1366641813
License: PSY13685
License Type: Mental Health
Professionals
4065 3rd Ave
San Diego, CA 92103
(619) 515-2419
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Hennigan, Kari PHD
Psychologist
Gender: Female
NPI: 1568608487
License: PSY22065
License Type: Mental Health
Professionals
4715 Viewridge Ave Ste 230
San Diego, CA 92123
(800) 257-8715
Affiliated Group(s): Vericare
Board Certified: No
House, Sean PHD
Psychologist
Gender: Male
NPI: 1659524544
License: PSY25128
License Type: Mental Health
Professionals
1147 W Bernardo Crt Ste K
San Diego, CA 92127
(858) 254-4192
Affiliated Group(s): Vericare
Board Certified: No
House, Sean PHD
Psychologist
Gender: Male
NPI: 1659524544
License: PSY25128
License Type: Mental Health
Professionals
4715 Viewridge Ave Ste 230
San Diego, CA 92123
(800) 257-8715
Affiliated Group(s): Vericare
Board Certified: No
San Diego
Hunter, Wendy J PHD
Psychologist
Gender: Female
NPI: 1245385145
License: PSY15402
License Type: Mental Health
Professionals
4065 3rd Ave
San Diego, CA 92103
(619) 515-2419
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Johnston, Stacy K PHD
Psychologist
Gender: Female
NPI: 1063569135
License: PSY17457
License Type: Mental Health
Professionals
501 W Broadway Ste 800
San Diego, CA 92101
(619) 778-7215
Affiliated Group(s): Southern
California Psychology Centers
Apc, Stacy Kim Johnston Phd
Board Certified: No
Judd, Patricia PhD
Psychologist
Gender: Female
NPI: 1538185368
License: PSY12952
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Khoury, Laura M PHD
Psychologist
Gender: Female
NPI: 1902110877
License: PSY27356
License Type: Mental Health
Professionals
550 Washington St Ste 201
San Diego, CA 92103
(619) 876-4440
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
177
Behavioral Health and Substance Use
San Diego
Koljonen, April PHD
Psychologist
Gender: Female
NPI: 1184823916
License: PSY24047
License Type: Mental Health
Professionals
2801 4th Ave
San Diego, CA 92103
(619) 308-6424
Affiliated Group(s): Memory
Check Psychological Services A
Pc, Remind Your Body
Board Certified: No
Physician's Language(s):
Spanish
Lamb, Judy PHD
Psychologist
Gender: Female
NPI: 1710117262
License: PSY28244
License Type: Mental Health
Professionals
8775 Aero Dr Ste 238
San Diego, CA 92123
(619) 629-7272
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Southern
California Psychology Centers
Apc
Board Certified: No
Lewis, Araseli P PHD
Psychologist
Gender: Female
NPI: 1144395542
License: PSY25551
License Type: Mental Health
Professionals
6061 Banbury St
San Diego, CA 92139
(866) 284-0482
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc
Board Certified: No
Linke, Sarah E PHD
Psychologist
Gender: Female
NPI: 1487026415
License: PSY27116
License Type: Mental Health
Professionals
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(858) 657-7750
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Love-robles, Yvonne PHD
Mcdonald, Carrie PhD
Psychologist
Gender: Female
NPI: 1902812811
License: PSY18321
License Type: Mental Health
Professionals
2204 Garnet Ave Ste 102
San Diego, CA 92109
(858) 732-7000
Affiliated Group(s): Integrated
Health Partners, San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Maness, Paula J PHD
Psychologist
Gender: Female
NPI: 1437312097
License: PSY23787
License Type: Mental Health
Professionals
316 25th St
San Diego, CA 92102
(619) 238-5551
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Mansdorfer, John PhD
Psychologist
Gender: Male
NPI: 1598900367
License: PSY13625
License Type: Mental Health
Professionals
7675 Family Circle Dr
San Diego, CA 92139
(866) 284-0482
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc
Board Certified: No
Masters, Marchita R PHD
Psychologist
Gender: Female
NPI: 1043330467
License: PSY17265
License Type: Mental Health
Professionals
950 S Euclid Ave
San Diego, CA 92114
(619) 662-4100
Mon-Fri
0.333333333333333-5:00 pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Psychologist
Gender: Female
NPI: 1629267000
License Type: Mental Health
Professionals
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Mejias, Juan C PHD
Psychologist
Gender: Male
NPI: 1558560730
License: PSY26953
License Type: Mental Health
Professionals
165 S 1st St
San Diego, CA 92109
(619) 312-0347
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Physician's Language(s):
Spanish
Mejias, Juan C PHD
Psychologist
Gender: Male
NPI: 1558560730
License: PSY26953
License Type: Mental Health
Professionals
4060 Fairmount Ave
San Diego, CA 92105
(619) 584-1612
Mon-Fri 9:00am-6:00pm
Affiliated Group(s): La Maestra
Family Clinic Inc
Board Certified: No
Physician's Language(s):
Spanish
Minassian, Arpi PHD
Psychologist
Gender: Female
NPI: 1003849613
License: PSY19639
License Type: Mental Health
Professionals
350 Dickinson St
San Diego, CA 92103
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
San Diego
Mirzakhanian, Heline PhD
Psychologist
Gender: Female
NPI: 1538402151
License: PSY25641
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7946
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ning, Grace J PHD
Psychologist
Gender: Female
NPI: 1598911315
License: PSY27293
License Type: Mental Health
Professionals
4290 Polk Ave
San Diego, CA 92105
(619) 563-0507
Mon-Fri 8:00am-5:00pm, Sat
8:00am-2:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Norman, Marc A PHD
Psychologist
Gender: Male
NPI: 1922169101
License: PSY16278
License Type: Mental Health
Professionals
200 W Arbor Dr
San Diego, CA 92103
(619) 543-3759
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Norman, Marc A PHD
Psychologist
Gender: Male
NPI: 1922169101
License: PSY16278
License Type: Mental Health
Professionals
350 Dickinson St
San Diego, CA 92103
(619) 543-2827
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
178
Behavioral Health and Substance Use
San Diego
Pates, Hugh D PHD
Psychologist
Gender: Male
NPI: 1457468233
License: PSY9576
License Type: Mental Health
Professionals
4901 Morena Blvd Ste 109
San Diego, CA 92117
(858) 272-3992
Affiliated Group(s): Concept
Healthcare Psychology Group
Inc
Board Certified: No
Perez, Veronica B PHD
Psychologist
Gender: Female
NPI: 1477604643
License: PSY27421
License Type: Mental Health
Professionals
140 Arbor Dr
San Diego, CA 92103
(619) 543-7745
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Perry, William PhD
Psychologist
Gender: Male
NPI: 1801811195
License: PSY12229
License Type: Mental Health
Professionals
350 Dickinson St
San Diego, CA 92103
(858) 534-6200
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Ramos, Erika PHD
Psychologist
Gender: Female
NPI: 1346609666
License: PSY27971
License Type: Mental Health
Professionals
750 B St Ste 2870
San Diego, CA 92101
(619) 356-0378
Affiliated Group(s): Access
Psychology Services Pc
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Reed, Carmen Elaine PHD
Rudenberg, Murray B PHD
Psychologist
Gender: Female
NPI: 1659718328
License: PSY14366
License Type: Mental Health
Professionals
2950 El Cajon Blvd Ste 4
San Diego, CA 92104
(619) 528-1752
Affiliated Group(s): Exodus
Recovery Inc
Board Certified: No
Rene, Rachelle PHD
Psychologist
Gender: Female
NPI: 1629108188
License: PSY23993
License Type: Mental Health
Professionals
286 Euclid Ave Ste 308
San Diego, CA 92114
(619) 527-7330
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Reyes, Dara PHD
Psychologist
Gender: Female
NPI: 1114119591
License: PSY27297
License Type: Mental Health
Professionals
316 25th St
San Diego, CA 92102
(619) 238-5551
Mon-Fri 8:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, Mountain
Health & Community Services
Board Certified: No
Accessibility: Basic, IB, P, W, R,
E, EB
Rice, Valerie PhD
Psychologist
Gender: Female
NPI: 1508882655
License: PSY15353
License Type: Mental Health
Professionals
200 West Arbor 7th Floor
San Diego, CA 92103
(619) 543-3772
Affiliated Hospital(s): Ucsd
Medical Center
Affiliated Group(s): Ucsd
Medical Group
Board Certified: No
Psychologist
Gender: Male
NPI: 1336368331
License: PSY12844
License Type: Mental Health
Professionals
2423 Camino Del Rio S Ste 101
San Diego, CA 92108
(858) 509-7575
Affiliated Group(s): Murray
Brian Rudenberg Phd
Board Certified: No
Stark, Rohn PHD
Psychologist
Gender: Male
NPI: 1902219850
License: PSY26386
License Type: Mental Health
Professionals
4715 Viewridge Ave Ste 230
San Diego, CA 92123
(800) 257-8715
Affiliated Group(s): Memory
Check Psychological Services A
Pc, Vericare
Board Certified: No
Physician's Language(s):
Spanish, Cantonese, Japanese
Tweedy, David G PHD
Psychologist
Gender: Male
NPI: 1336295500
License: PSY16608
License Type: Mental Health
Professionals
12396 World Trade Dr Ste 106
San Diego, CA 92128
(858) 385-1419
Mon-Fri 12:00 am-12:00 am
Affiliated Group(s): Senior
Medical Associates Inc
Board Certified: No
White, Stephen M PHD
Psychologist
Gender: Male
NPI: 1376681825
License: PSY20739
License Type: Mental Health
Professionals
16496 Bernardo Center Dr Ste
307
San Diego, CA 92128
(619) 922-1579
Affiliated Group(s): Stephen M
White
Board Certified: No
San Diego
Winter, Jeffrey C PHD
Psychologist
Gender: Male
NPI: 1396904850
License: PSY6795
License Type: Mental Health
Professionals
5454 El Cajon Blvd
San Diego, CA 92115
(619) 515-2400
Mon-Fri 8:30 am-5:30 pm
Affiliated Group(s): Family
Health Centers Of San Diego
Inc
Board Certified: No
Woolley, Lauren PHD
Psychologist
Gender: Female
NPI: 1952785784
License: PSY23740
License Type: Mental Health
Professionals
4290 Polk Ave
San Diego, CA 92105
(858) 279-0925
Mon-Fri 8:30pm-5:30pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Woolley, Lauren PHD
Psychologist
Gender: Female
NPI: 1952785784
License: PSY23740
License Type: Mental Health
Professionals
6973 Linda Vista Rd
San Diego, CA 92111
(858) 279-9676
Mon 8:30 am-5:30 pm, Tue 8:30
am-9:00 pm, Wed-Fri 8:30
am-5:30 pm, Sat 9:00 am-4:00
pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Woolley, Lauren PHD
Psychologist
Gender: Female
NPI: 1952785784
License: PSY23740
License Type: Mental Health
Professionals
7011 Linda Vista Rd
San Diego, CA 92111
(858) 810-8700
Mon-Fri 8:30am-5:30pm, Sat
9:00am-4:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
179
Behavioral Health and Substance Use
San Marcos
SAN MARCOS
Cortizo, Rosita PHD
Psychologist
Gender: Female
NPI: 1952316648
License: MFC37949
License Type: Mental Health
Professionals
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
Mon-Tue 8:00 am-8:00 pm,
Wed-Fri 8:00 am-6:00 pm, Sat
8:00 am-2:00 pm
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
Physician's Language(s):
Spanish
Georgiev, Mary Jo PHD
Psychologist
Gender: Female
NPI: 1518996875
License: PSY17954
License Type: Mental Health
Professionals
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Jensen, Brian PHD
Psychologist
Gender: Male
NPI: 1518138049
License: PSY26041
License Type: Mental Health
Professionals
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners, North County
Health Services
Board Certified: No
San Diego County
IN ALPHABETICAL ORDER BY SPECIALTY AND CITY
Krapes, Michael B PHD
Ibanez, Berenice B PHD
Psychologist
Gender: Male
NPI: 1215233028
License: PSY25077
License Type: Mental Health
Professionals
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6767
Mon-Fri 8:00am-6:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
SAN YSIDRO
Arsenault, Darin PHD
Psychologist
Gender: Male
NPI: 1528243821
License: PSY24775
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Carr-lee, Nicole B PHD
Psychologist
Gender: Female
NPI: 1316270481
License: PSY26191
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s):
Spanish
Cook, Niles T PHD
Psychologist
Gender: Male
NPI: 1376824466
License: PSY27698
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners, San Ysidro
Health Center
Board Certified: No
Psychologist
Gender: Female
NPI: 1740394386
License: PSY22080
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 428-4463
Mon-Fri 9:00 am-5:00 pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Physician's Language(s):
Spanish
Love-robles, Yvonne PHD
Psychologist
Gender: Female
NPI: 1902812811
License: PSY18321
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners, San Ysidro
Health Center
Board Certified: No
Physician's Language(s):
Spanish
Masters, Marchita R PHD
Psychologist
Gender: Female
NPI: 1043330467
License: PSY17265
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Rene, Rachelle PHD
Psychologist
Gender: Female
NPI: 1629108188
License: PSY23993
License Type: Mental Health
Professionals
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 662-4100
Mon-Fri 8:00am-7:30pm
Affiliated Group(s): Integrated
Health Partners, Vantage
Medical Group
Board Certified: No
Coronado
SOLANA BEACH
Welland-akong, Christauria
PHD
Psychologist
Gender: Female
NPI: 1326099318
License: PSY17166
License Type: Mental Health
Professionals
990 Highland Dr Ste 103
Solana Beach, CA 92075
(858) 922-8555
Affiliated Group(s): Christauria
Welland-akong
Board Certified: No
Social Worker
CHULA VISTA
Aidar-currier, Renata K LCSW
Social Worker
Gender: Female
NPI: 1932277597
License: LCS26063
License Type: Mental Health
Professionals
625 3rd Ave
Chula Vista, CA 91910
(619) 804-6918
Affiliated Group(s): Renata
Aidar Currier
Board Certified: No
Physician's Language(s):
Spanish, Portugese
CORONADO
Mason, Rhonda E LCSW
Social Worker
Gender: Female
NPI: 1366436503
License: LCS17969
License Type: Mental Health
Professionals
3760 Convoy St Ste 118
Coronado, CA 92118
(619) 251-4618
Mon-Fri 11:00 am-6:00 pm
Affiliated Group(s): Rhonda
Mason Lcsw
Board Certified: No
P=Parking EB=Exterior Building IB=Interior Building W=Waiting/Reception R=Restroom E=Exam Room T=Accessible Table
S=Wheelchair Weight Scale MEA=Medical
The information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider,
please contact Molina Member Services at 1-888-858-2150 or TTY at 1-800-735-2989.
180
Behavioral Health and Substance Use
El Cajon
EL CAJON
Jayyousi, Sarah LCSW
Social Worker
Gender: Female
NPI: 1437190808
License: 19413
License Type: Mental Health
Professionals
436 S Magnolia Ave
El Cajon, CA 92020
(619) 631-7400
Mon-Fri 9:00am-5:00pm
Affiliated Group(s): Integrated
Health Partners
Board Certified: No
Physician's Language(s): Arabic
Jayyousi, Sarah LCSW
Social Worker
Gender: Female
NPI: 1437190808
License: 19413
License Ty