PETER LAC (NPI# 1881617652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881617652 |
| Entity Type | Individual |
| Full Name | PETER LAC |
| Credential | M.D. |
| Practice Address |
1011 E Devonshire Ave Suite 201 Hemet CA 92543-3033 |
| Mailing Address |
Po Box 54130 Los Angeles CA 90054-0130 |
| Practice Telephone | 9516523558 |
| Practice Fax Number | 9516525547 |
| Mailing Telephone | 9516873400 |
| Mailing Fax Number | 9516877630 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A91135 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LIC | A91135 | 01 |
| Street Address |
1011 E DEVONSHIRE AVE SUITE 201 |
| City | HEMET |
| State | CA |
| Zip Code | 92543-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025422 | A Kareem Jaffer | Psychiatry & Neurology | 1011 E Devonshire Ave, Ste 102, Hemet, CA 92543-3033 | 2005-10-03 |
| 1326310640 | Patricia Ann Paulhus | Nurse Practitioner | 1011 E Devonshire Ave, Suite 201, Hemet, CA 92543-3033 | 2012-02-01 |
| 1366696577 | Michelle A Salmon | Nurse Practitioner | 1011 E Devonshire Ave, Suite 201, Hemet, CA 92543-3033 | 2008-11-14 |
| 1295996064 | A K Jaffer Md Inc. | Psychiatry & Neurology | 1011 E Devonshire Ave, Suite 102, Hemet, CA 92543-3033 | 2008-06-24 |
| 1093987547 | W. Wasef Atiya | Clinic/Center | 1011 E Devonshire Ave, Suite 101, Hemet, CA 92543-3033 | 2008-03-25 |
| 1407044753 | Michael T Bell, A Chiropractic Corporation | Chiropractor | 1011 E Devonshire Ave, 200, Hemet, CA 92543-3033 | 2007-10-11 |
| 1164641585 | United Therapy Network Inc | Physical Therapist | 1011 E Devonshire Ave, Suite 203, Hemet, CA 92543-3033 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013962224 | Darshan Kumar Dhiman | Internal Medicine | 3989 W Stetson Ave Ste 202, Hemet, CA 92545-9697 | 2006-05-24 |
| 1649526088 | Tricia Grace Charles-cowan | Internal Medicine | 3989 W Stetson Ave Ste 202, Hemet, CA 92545-9697 | 2012-08-02 |
| 1164799425 | Apex Healthcare Medical Center Inc | Internal Medicine | 1515 W Florida Ave, Hemet, CA 92543-3817 | 2011-11-30 |
| 1992951115 | Ashok Nath | Internal Medicine | 3989 W Stetson Ave, Ste 202, Hemet, CA 92545-9697 | 2008-08-08 |
| 1578760641 | Eduardo Juan Nam | Internal Medicine | 1515 W Florida Ave, Hemet, CA 92543-3817 | 2007-06-30 |
| 1295897593 | Lawrence James Segal | Internal Medicine | 1515 W Florida Ave, Hemet, CA 92543-3817 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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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.