Alexander Phan (NPI# 1750796371, PAC ID# 4284852849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750796371 |
| PAC ID by PECOS | 4284852849 |
| Professional Enrollment ID | I20180130001597 |
| Full Name | Alexander Phan |
| Organization Legal Name | SCENIC FACULTY MEDICAL GROUP, INC. |
| Address |
1209 Woodrow Ave Suite B10 Modesto CA 95350-1273 |
| Phone Number | 2095585312 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870487838 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050464 | DOCTORS MEDICAL CENTER |
| 050726 | STANISLAUS SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 | 2095585312 | SCENIC FACULTY MEDICAL GROUP, INC. |
| Organization Legal Name | SCENIC FACULTY MEDICAL GROUP, INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anika Godhwani | Family Medicine | Scenic Faculty Medical Group, Inc. | 2412 3rd St, Hughson, CA 95326-9310 |
| John English | Family Medicine | Scenic Faculty Medical Group, Inc. | 3109 E Whitmore Ave, Ceres, CA 95307-2906 |
| Susie Wenstrup | Family Medicine | Scenic Faculty Medical Group, Inc. | 830 Scenic Dr, Modesto, CA 95350-6131 |
| Delbert David Morris | Family Practice | Scenic Faculty Medical Group, Inc. | 401 Paradise Rd, E, Modesto, CA 95351-3163 |
| Mitchell A Cohen | Family Medicine | Scenic Faculty Medical Group, Inc. | 830 Scenic Dr, Modesto, CA 95350-6131 |
| Lisa W Murphy | Obstetrics/gynecology | Scenic Faculty Medical Group, Inc. | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 |
| April O Gunn | Family Medicine | Scenic Faculty Medical Group, Inc. | 830 Scenic Dr, Modesto, CA 95350-6131 |
| Kathleen S Kearns | Family Medicine | Scenic Faculty Medical Group, Inc. | 830 Scenic Dr, Modesto, CA 95350-6131 |
| Juan Lopez Solorza | Family Medicine | Scenic Faculty Medical Group, Inc. | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 |
| Raeleigh Payanes | Family Medicine | Scenic Faculty Medical Group, Inc. | 830 Scenic Dr, Modesto, CA 95350-6131 |
| Street Address |
1209 WOODROW AVE SUITE B10 |
| City | MODESTO |
| State | CA |
| Zip | 95350-1273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Mark Grover | Obstetrics/gynecology | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 | |
| Lisa W Murphy | Obstetrics/gynecology | Scenic Faculty Medical Group, Inc. | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 |
| Juan Lopez Solorza | Family Medicine | Scenic Faculty Medical Group, Inc. | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 |
| Baltej Dosanjh | Family Medicine | Scenic Faculty Medical Group, Inc. | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 |
| Thomas Wenstrup | Family Medicine | Scenic Faculty Medical Group, Inc. | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MODESTO + FAMILY MEDICINE |
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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.