Mark C Cannis (NPI# 1033372453, PAC ID# 1850579715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033372453 |
| PAC ID by PECOS | 1850579715 |
| Professional Enrollment ID | I20110623000139 |
| Full Name | Mark C Cannis |
| Organization Legal Name | PACIFIC EMERGENCY PROVIDERS, A PROF. CORP. |
| Address |
4077 5th Ave San Diego CA 92103-2105 |
| Phone Number | 6196863800 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1557327608 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050077 | SCRIPPS MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4077 5th Ave, San Diego, CA 92103-2105 | 6196863800 | PACIFIC EMERGENCY PROVIDERS, A PROF. CORP. |
| Organization Legal Name | PACIFIC EMERGENCY PROVIDERS, A PROF. CORP. |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Han T Gao | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Karen V Morgan | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Roneet Lev | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Matthew K Riddle | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Haleigh C Kotter | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Andrew Stolle | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Jenna Otter | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Vikant Gulati | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Stephanie O'brien Sramek | Nurse Practitioner | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Jerry L Cunningham | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Street Address |
4077 5TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip | 92103-2105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanaz Kahen Biton | Internal Medicine | Scripps Health | 4077 5th Ave, San Diego, CA 92103-2180 |
| Ashkan Hayatdavoudi | Hospitalist | Scripps Health | 4077 5th Ave, San Diego, CA 92103-2180 |
| Han T Gao | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Joseph Kazanchi | Hospitalist | Scripps Health | 4077 5th Ave, San Diego, CA 92103-2180 |
| Jeffrey B Friesen | Internal Medicine | Scripps Health Inpatient Providers Medical Group Inc | 4077 5th Ave, San Diego, CA 92103-2105 |
| Bradley L Spitz | Pulmonary Disease | Bradley L. Spitz, M.d. Inc | 4077 5th Ave, San Diego, CA 92103-2105 |
| Karen V Morgan | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Matthew R Callahan | Hospitalist | Scripps Health | 4077 5th Ave, San Diego, CA 92103-2180 |
| Marvin W Zahler Ii | Hospitalist | Scripps Health Inpatient Providers Medical Group Inc | 4077 5th Ave, San Diego, CA 92103-2105 |
| Roneet Lev | Emergency Medicine | Pacific Emergency Providers, A Prof. Corp. | 4077 5th Ave, San Diego, CA 92103-2105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter E Cadman | Nephrology | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Patrick Pablo | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Kelli Gray-meisner | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Lovella S Hailey | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Valerie L Waters | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Jennifer A Dorward | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Erika Albani | Family Practice | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Sharon Grodner | Psychologist, Clinical | 2278 Pine St, San Diego, CA 92103-1153 | |
| Gregory M Balourdas | Hand Surgery | 4101 Randolph St, San Diego, CA 92103-1342 | |
| Stephanie L Lessig | Neurology | Regents of The University of California - Ucsd Medical Group | 4311 3rd Ave, San Diego, CA 92103-1407 |
| Find all physicians in zip 92103 | |||
| City | SAN DIEGO |
| Zip Code | 92103 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAN DIEGO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark C Cannis.
| 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.