Heidi R Roark (NPI# 1437439577, PAC ID# 0547422552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1437439577 |
| PAC ID by PECOS | 0547422552 |
| Professional Enrollment ID | I20120508000381 |
| Full Name | Heidi R Roark |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
4650 Palm Ave San Diego CA 92154-8404 |
| Phone Number | 6195285000 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4650 Palm Ave, San Diego, CA 92154-8404 | 6195285000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
4650 PALM AVE |
| City | SAN DIEGO |
| State | CA |
| Zip | 92154-8404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oscar G Verduzco | Physical Therapy | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| R R Campeau | Physical Therapy | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Lynette I Sanchez | Physical Therapy | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Thatcher J Ferris | Certified Registered Nurse Anesthetist | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Mary L Martinez | Physician Assistant | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Bradley R Bartos | General Surgery | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Justus H Kam | Psychiatry | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Erin A Barcarse | Obstetrics/gynecology | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Lisa M Nyberg | Internal Medicine | Southern California Permanente Medical Group | 4650 Palm Ave, San Diego, CA 92154-8404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac Ortega-endahl | Physician Assistant | Southbay Urgent Care Inc | 1628 Palm Ave, San Diego, CA 92154-1027 |
| Kristy Cadava | Chiropractic | 1676 Palm Ave, San Diego, CA 92154-1027 | |
| Matthew D Dickson | Emergency Medicine | Southbay Urgent Care Inc | 1628 Palm Ave, San Diego, CA 92154-1027 |
| Kimberly Renee Gaines | Physician Assistant | Southbay Urgent Care Inc | 1628 Palm Ave, San Diego, CA 92154-1027 |
| Ildiko C Gerbatsch Bornemisza | General Practice | Marcos Borrero Md Inc | 3490 Palm Ave, San Diego, CA 92154-1664 |
| Anselmo Roldan | Internal Medicine | Marcos Borrero Md Inc | 3490 Palm Ave, San Diego, CA 92154-1664 |
| Marcos Borrero | Family Medicine | Marcos Borrero Md Inc | 3490 Palm Ave, San Diego, CA 92154-1664 |
| Hortencia Guzman | Physician Assistant | Marcos Borrero Md Inc | 3490 Palm Ave, San Diego, CA 92154-1664 |
| Franco J Spano | Family Practice | Marcos Borrero Md Inc | 3490 Palm Ave, San Diego, CA 92154-1664 |
| Thomas E Resendez | Chiropractic | 2930 Coronado Ave, Suite B, San Diego, CA 92154-2188 | |
| Find all physicians in zip 92154 | |||
| City | SAN DIEGO |
| Zip Code | 92154 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAN DIEGO + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.