EILEEN LUHA SICANGCO (NPI# 1780876193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780876193 |
| Entity Type | Individual |
| Full Name | EILEEN LUHA SICANGCO |
| Credential | MD |
| Practice Address |
445 W Eaton Ave Tracy CA 95376-3420 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095241211 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C151916 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101244121 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1780876193 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4124 Chesapeake Square Blvd, Suite 103, Chesapeake, VA 23321 | 7579835100 | 7576738292 |
| Street Address |
445 W EATON AVE |
| City | TRACY |
| State | CA |
| Zip Code | 95376-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205850864 | Larry J Lo | Obstetrics & Gynecology | 445 W Eaton Ave, Tracy, CA 95376 | 2006-07-27 |
| 1346862075 | Zachary J Whipple | Physician Assistant | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2020-05-15 |
| 1467981662 | Maryam Zaman | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2017-06-09 |
| 1255868055 | Nimmie Singh | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2017-05-11 |
| 1124477898 | Karla Daniela Guerrero | Obstetrics & Gynecology | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2016-06-03 |
| 1386003424 | Sutter Valley Medical Foundation | Surgery | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2016-02-17 |
| 1770978579 | Jasdeep Dhami | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2015-03-30 |
| 1821416157 | Laura Ivette Velez Irizarry | Emergency Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2014-04-03 |
| 1356764518 | Ross Thomas Caulfield | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2014-01-23 |
| 1982905808 | Chirag Sheth | Internal Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2010-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1417939851 | Enrique Zarate | Emergency Medicine | 130 W 11th St Ste D, Tracy, CA 95376-3935 | 2005-11-18 |
| 1134110554 | Janice Marie Crawford | Emergency Medicine | 1420 N Tracy Blvd, Emergency Dept, Tracy, CA 95376-3451 | 2005-11-03 |
| 1821416157 | Laura Ivette Velez Irizarry | Emergency Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2014-04-03 |
| 1932468774 | Sean Allen Wilkie | Emergency Medicine | 1420 N Tracy Blvd, Dept of Emergency Medicine, Tracy, CA 95376-3451 | 2012-05-14 |
| 1336423516 | Jennifer Bailey | Emergency Medicine | 1420 N Tracy Blvd, Emergency Dept, Tracy, CA 95376-3451 | 2011-10-05 |
| 1376837021 | Phoebe Lee | Emergency Medicine | 1420 N Tracy Blvd, Tracy, CA 95376-3451 | 2011-05-30 |
| 1184605396 | Paul Roger Anderson | Emergency Medicine | 1420 N Tracy Blvd, Tracy, CA 95376-3451 | 2005-11-07 |
| 1225029440 | Andy K Su | Emergency Medicine | 1420 N Tracy Blvd, Tracy, CA 95376-3451 | 2005-11-04 |
| 1215928437 | Alan Tadao Uyeno | Emergency Medicine | 1420 N Tracy Blvd, Emergency Dept., Tracy, CA 95376-3451 | 2005-11-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.