Annie Nguyentat (NPI# 1134486160, PAC ID# 2163648379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1134486160 |
| PAC ID by PECOS | 2163648379 |
| Professional Enrollment ID | I20140724001192 |
| Full Name | Annie Nguyentat |
| Organization Legal Name | ROSEVILLE ORTHOPEDIC GROUP A MEDICAL CORP |
| Address |
151 N Sunrise Ave Suite 1005 Roseville CA 95661-2930 |
| Phone Number | 9167821217 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5193790046 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050309 | SUTTER ROSEVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 | 9167821217 | ROSEVILLE ORTHOPEDIC GROUP A MEDICAL CORP |
| Organization Legal Name | ROSEVILLE ORTHOPEDIC GROUP A MEDICAL CORP |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliet Loiree Chaves | Physical Therapy | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| Thomas C Merchant | Orthopedic Surgery | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| James E Eaton | Physical Therapy | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| Kevin Hansen | Orthopedic Surgery | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| Skyler Ingemansson | Physician Assistant | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| Julianna E Krill | Physical Therapy | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| Street Address |
151 N SUNRISE AVE SUITE 1005 |
| City | ROSEVILLE |
| State | CA |
| Zip | 95661-2930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackson Wang | Nephrology | Summit Nephrology Medical Group, Inc. | 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2932 |
| Gregory Daniel Spin | Nephrology | Summit Nephrology Medical Group, Inc. | 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2932 |
| Sourabh P Kharait | Nephrology | Summit Nephrology Medical Group, Inc. | 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2932 |
| Harinder K Bisla | Internal Medicine | Gill and Bisla Internal Med Bisla Harinder Gen Ptr | 151 N Sunrise Ave, Suite 613, Roseville, CA 95661-2909 |
| Gary Kelley | Chiropractic | Kelley Chiropractic | 151 N Sunrise Ave, Suite 701, Roseville, CA 95661-2927 |
| Juliet Loiree Chaves | Physical Therapy | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| Lana Gafter | Nephrology | Summit Nephrology Medical Group, Inc. | 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2932 |
| Thomas C Merchant | Orthopedic Surgery | Roseville Orthopedic Group A Medical Corp | 151 N Sunrise Ave, Suite 1005, Roseville, CA 95661-2930 |
| Hiba Am Hamdan | Nephrology | Summit Nephrology Medical Group, Inc. | 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2932 |
| Lisa Nelsen | Obstetrics/gynecology | 151 N Sunrise Ave, Suite 1107, Roseville, CA 95661-2931 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reinhardt G Hilzinger | Family Medicine | 4 Medical Plaza Dr, Roseville, CA 95661-2815 | |
| Jasbir S Rangi | Gastroenterology | Capitol Gastroenterology Consultants Medical Group Inc | 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815 |
| Lorerky M Ramirez-moya | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 1420 Rocky Ridge Dr, Roseville, CA 95661-2835 |
| Parul W Singh | Family Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Khushwinder S Garcha | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Ila Suplizio | Physical Therapy | Brett Pinkney Mpt and Associates Inc. | 588 N Sunrise Ave, Suite 100, Roseville, CA 95661-2843 |
| Earnest G Manjooran | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Jakkidi S Reddy | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Granger B Wong | Plastic and Reconstructive Surgery | 576 N Sunrise Ave, 120 Centre for Plastic Surgery, Roseville, CA 95661-2846 | |
| Christine Nguyen | Optometry | 576 N Sunrise Ave, Suite 110, Roseville, CA 95661-2846 | |
| Find all physicians in zip 95661 | |||
| City | ROSEVILLE |
| Zip Code | 95661 |
| Specialty | PODIATRY |
| City + Specialty | ROSEVILLE + PODIATRY |
Please comment or provide details below to improve the information on Annie Nguyentat.
| 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.