Larry Snyder (NPI# 1902902653, PAC ID# 1658267729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902902653 |
| PAC ID by PECOS | 1658267729 |
| Professional Enrollment ID | I20120418000187 |
| Full Name | Larry Snyder |
| Organization Legal Name | PACIFIC CREST MEDICAL GROUP INC |
| Address |
34052 La Plz Suite 101 Dana Point CA 92629-2571 |
| Phone Number | 9494964369 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486540549 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 34052 La Plz, Suite 101, Dana Point, CA 92629-2571 | 9494964369 | PACIFIC CREST MEDICAL GROUP INC |
| Organization Legal Name | PACIFIC CREST MEDICAL GROUP INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kempert | Family Medicine | Pacific Crest Medical Group Inc | 34052 La Plz, Suite 101, Dana Point, CA 92629-2571 |
| Street Address |
34052 LA PLZ SUITE 101 |
| City | DANA POINT |
| State | CA |
| Zip | 92629-2571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danuta U Delnitz | Family Medicine | 34052 La Plz, Suite 102, Dana Point, CA 92629-2571 | |
| Judy L Bourget | General Surgery | 34052 La Plz, Suite 104, Dana Point, CA 92629-2571 | |
| Shilpa J Gaikwad | Family Medicine | Memorialcare Medical Foundation | 34052 La Plz, Suite 105, Dana Point, CA 92629-2571 |
| Richard Kempert | Family Medicine | Pacific Crest Medical Group Inc | 34052 La Plz, Suite 101, Dana Point, CA 92629-2571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louise Xian Ye-liew | Family Medicine | Advanced Medical Home Physicians Inc | 25411 Sea Bluffs Dr, Dana Point, CA 92629-2190 |
| Eileen M Kramer | Psychologist, Clinical | 24681 La Plz, Suite 370, Dana Point, CA 92629-2568 | |
| Anne Luhan | General Surgery | 34052 La Plaza, Suite 102, Dana Point, CA 92629-2571 | |
| Daniel Headrick | Family Medicine | 34085 Pacific Coast Hwy, Suite 203, Dana Point, CA 92629-2765 | |
| Frank J Rose | Internal Medicine | 24672 San Juan Ave, Suite 102, Dana Point, CA 92629-2837 | |
| Martin Geoffreys | Chiropractic | 24863 Del Prado, Dana Point, CA 92629-2853 | |
| Mahsa Abdollahi | Dermatology | Advanced Dermatology Inc. | 34213 Pacific Coast Hwy, Dana Point, CA 92629-2875 |
| Jeffrey K Lander | Dermatology | Advanced Dermatology Inc. | 34213 Pacific Coast Hwy, Dana Point, CA 92629-2875 |
| Kristen R Aguirre | Dermatology | Advanced Dermatology Inc. | 34213 Pacific Coast Hwy, Dana Point, CA 92629-2875 |
| Maryam Moinfar | Dermatology | Advanced Dermatology Inc. | 34213 Pacific Coast Hwy, Dana Point, CA 92629-2875 |
| Find all physicians in zip 92629 | |||
| City | DANA POINT |
| Zip Code | 92629 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DANA POINT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Larry Snyder.
| 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.