Carrie Nettles (NPI# 1477012474, PAC ID# 2466785613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477012474 |
| PAC ID by PECOS | 2466785613 |
| Professional Enrollment ID | I20190604000595 |
| Full Name | Carrie Nettles |
| Organization Legal Name | SOUTHERN CALIFORNIA MEDICAL CENTER INC |
| Address |
12100 Valley Blvd 109a El Monte CA 91732-3161 |
| Phone Number | 6265757500 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769666817 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12100 Valley Blvd, 109a, El Monte, CA 91732-3161 | 6265757500 | SOUTHERN CALIFORNIA MEDICAL CENTER INC |
| Organization Legal Name | SOUTHERN CALIFORNIA MEDICAL CENTER INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damian Robledo | Clinical Social Worker | Southern California Medical Center Inc | 14550 Haynes St, Van Nuys, CA 91411-1613 |
| Mohammad Rasekhi | Family Medicine | Southern California Medical Center Inc | 8825 Whittier Blvd, Pico Rivera, CA 90660-2657 |
| John C Petitt | Family Medicine | Southern California Medical Center Inc | 14550 Haynes St, Van Nuys, CA 91411-1613 |
| Pedram Kohan | Internal Medicine | Southern California Medical Center Inc | 14550 Haynes St, Van Nuys, CA 91411-1613 |
| Nona Ahankoob | Internal Medicine | Southern California Medical Center Inc | 12100 Valley Blvd, 109a, El Monte, CA 91732-3161 |
| Lien Trinh Tran | Physician Assistant | Southern California Medical Center Inc | 8825 Whittier Blvd, Pico Rivera, CA 90660-2657 |
| Helen Sia Santos | Nurse Practitioner | Southern California Medical Center Inc | 12100 Valley Blvd, 109a, El Monte, CA 91732-3161 |
| Street Address |
12100 VALLEY BLVD 109A |
| City | EL MONTE |
| State | CA |
| Zip | 91732-3161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nona Ahankoob | Internal Medicine | Southern California Medical Center Inc | 12100 Valley Blvd, 109a, El Monte, CA 91732-3161 |
| Helen Sia Santos | Nurse Practitioner | Southern California Medical Center Inc | 12100 Valley Blvd, 109a, El Monte, CA 91732-3161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Kaw | Internal Medicine | 4355 N Peck Rd, El Monte, CA 91732-1905 | |
| Michael A Alberico | Podiatry | 4346 Cogswell Rd, El Monte, CA 91732-2016 | |
| Wu H Liu | Internal Medicine | 3948 Peck Rd, Suite 10, El Monte, CA 91732-2256 | |
| Anna Orozco | Clinical Social Worker | Alma Family Services | 4024 N Durfee Ave D Wing, El Monte, CA 91732-2510 |
| Vahid Missaghi | General Practice | Center for Family Health and Education Inc | 11518 Garvey Ave, El Monte, CA 91732-3306 |
| City | EL MONTE |
| Zip Code | 91732 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EL MONTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carrie Nettles.
| 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.