Ismansjah Soekardi (NPI# 1215054721, PAC ID# 5799814836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1215054721 |
| PAC ID by PECOS | 5799814836 |
| Professional Enrollment ID | I20100527000317 |
| Full Name | Ismansjah Soekardi |
| Organization Legal Name | HIGH DESERT THERAPISTS, INC |
| Address |
60 Penny Ln Watsonville CA 95076-3079 |
| Phone Number | 8317869000 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9436145166 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 60 Penny Ln, Watsonville, CA 95076-3079 | 8317869000 | HIGH DESERT THERAPISTS, INC |
| Organization Legal Name | HIGH DESERT THERAPISTS, INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra L Henn | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Lendell R Stephenson | Physical Therapy | High Desert Therapists, Inc | 5 Pine Cone Rd, Suite 100, Dayton, NV 89403-6309 |
| Linda L Wolfe | Physical Therapy | High Desert Therapists, Inc | 2205 Glendale Ave, Suite 129, Sparks, NV 89431-5587 |
| Sarah L Scribner | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Ashlee E Mcmicken | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Steven E Bruce | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Pamela J Wolfe | Occupational Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Edwin J Horney | Physical Therapy | High Desert Therapists, Inc | 5 Pine Cone Rd, Suite 100, Dayton, NV 89403-6309 |
| Shelley L Neate | Physical Therapy | High Desert Therapists, Inc | 2205 Glendale Ave, Suite 129, Sparks, NV 89431-5587 |
| Joann H Dohallow | Physical Therapy | High Desert Therapists, Inc | 2205 Glendale Ave, Suite 129, Sparks, NV 89431-5587 |
| Street Address |
60 PENNY LN |
| City | WATSONVILLE |
| State | CA |
| Zip | 95076-3079 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra L Henn | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Sarah L Scribner | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Ashlee E Mcmicken | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Steven E Bruce | Physical Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Pamela J Wolfe | Occupational Therapy | High Desert Therapists, Inc | 60 Penny Ln, Watsonville, CA 95076-3079 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Martin | Physical Medicine and Rehabilitation | 265 Camino Al Barranco, La Selva Beach, CA 95076-1505 | |
| Elizabeth Gonzalez-jaskulak | Clinical Social Worker | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Alexander Tsavaler | Anesthesiology | Elite Anesthesia Medical Group Inc | 75 Neilson St, Watsonville, CA 95076-2468 |
| Patrick Worth Shepard Cary | Emergency Medicine | Cep America - California | 75 Neilson St, Watsonville, CA 95076-2468 |
| John Aleman | Family Medicine | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Cathleen Chandler-eckhardt | Physician Assistant | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Flavio A Cornejo | Family Medicine | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Cristina Gamboa | Obstetrics/gynecology | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Mark M Ahn | Anesthesiology | Elite Anesthesia Medical Group Inc | 75 Neilson St, Watsonville, CA 95076-2468 |
| Linda Truong | Emergency Medicine | Cep America - California | 75 Neilson St, Watsonville, CA 95076-2468 |
| Find all physicians in zip 95076 | |||
| City | WATSONVILLE |
| Zip Code | 95076 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WATSONVILLE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ismansjah Soekardi.
| 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.