Eric Schmidgal (NPI# 1366854960, PAC ID# 1658659966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1366854960 |
| PAC ID by PECOS | 1658659966 |
| Professional Enrollment ID | I20161020001265 |
| Full Name | Eric Schmidgal |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Address |
4490 Fanuel St Suite 100 San Diego CA 92109-8737 |
| Phone Number | 8582749116 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 9537345665 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 26831 Aliso Creek Rd, Suite 200, Aliso Viejo, CA 92656-5341 | 9493821909 | MARQUE MEDICAL CLINIC, INC. |
| 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 4085 Governor Dr, San Diego, CA 92122-2522 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 4490 Fanuel St, Suite 100, San Diego, CA 92109-8737 | 8582749116 | MARQUE MEDICAL CLINIC, INC. |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Christine Van Bokkem | Internal Medicine | Marque Medical Clinic, Inc. | 2315 Otay Lakes Rd, Suite 306, Chula Vista, CA 91915-1162 |
| Brandon Pourazima | Physician Assistant | Marque Medical Clinic, Inc. | 8970 Knott Ave, Buena Park, CA 90620-4137 |
| Jacqueline R Weir | Physician Assistant | Marque Medical Clinic, Inc. | 4490 Fanuel St, Suite 100, San Diego, CA 92109-8737 |
| Les A Mershon | Physician Assistant | Marque Medical Clinic, Inc. | 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 |
| Jin Suk C Kim | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Erin E Wood | Physician Assistant | Marque Medical Clinic, Inc. | 26831 Aliso Creek Rd, Suite 200, Aliso Viejo, CA 92656-5341 |
| Robert C Walker | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Robert M Masoner | Internal Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Brian Jeffry Jackson | Nurse Practitioner | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Nathan A Kiskila | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Street Address |
4490 FANUEL ST SUITE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92109-8737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline R Weir | Physician Assistant | Marque Medical Clinic, Inc. | 4490 Fanuel St, Suite 100, San Diego, CA 92109-8737 |
| Stacy Fuller Baecker | Physician Assistant | Marque Medical Clinic, Inc. | 4490 Fanuel St, Suite 100, San Diego, CA 92109-8737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelique Fiona Pelicano Adams | Physical Therapy | Mk Physical Therapy Inc | 5217 Vickie Dr, San Diego, CA 92109-1333 |
| Marcia Renee Tassinari | Physical Therapy | Tassinari Physical Therapy Inc | 4747 Mission Blvd, Suite 4a, Pacific Beach, CA 92109-2541 |
| Maribeth Ann Condon | Physical Therapy | Tassinari Physical Therapy Inc | 4747 Mission Blvd, Suite 4a, Pacific Beach, CA 92109-2541 |
| Ryan P Curda | Chiropractic | 4747 Mission Blvd, Suite 1, San Diego, CA 92109-2541 | |
| Russell William Tassinari | Physical Therapy | Tassinari Physical Therapy Inc | 4747 Mission Blvd, Suite 4a, Pacific Beach, CA 92109-2541 |
| Sharon L Deschaaf | Physical Therapy | Tassinari Physical Therapy Inc | 4747 Mission Blvd, Suite 4a, Pacific Beach, CA 92109-2541 |
| Joseph L Moore | Family Medicine | 975 Garnet Ave, San Diego, CA 92109-2729 | |
| John Gaidry | Internal Medicine | 1101 Felspar St, San Diego, CA 92109-2925 | |
| Billie E Green | Internal Medicine | 1101 Felspar St, San Diego, CA 92109-2925 | |
| Saleem Rajper | Internal Medicine | 1101 Felspar St, San Diego, CA 92109-2925 | |
| Find all physicians in zip 92109 | |||
| City | SAN DIEGO |
| Zip Code | 92109 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | SAN DIEGO + GENERAL PRACTICE |
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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.