Faith P Chisum (NPI# 1346432069, PAC ID# 6002949831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346432069 |
| PAC ID by PECOS | 6002949831 |
| Professional Enrollment ID | I20100730000751 |
| Full Name | Faith P Chisum |
| Organization Legal Name | IMPERIAL BEACH COMMUNITY CLINIC |
| Address |
949 Palm Ave Imperial Beach CA 91932-1503 |
| Phone Number | 6194293733 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709867880 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 949 Palm Ave, Imperial Beach, CA 91932-1503 | 6194293733 | IMPERIAL BEACH COMMUNITY CLINIC |
| Organization Legal Name | IMPERIAL BEACH COMMUNITY CLINIC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Calzada | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Randall A Roark | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Danielle M Richardson | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Judith Ann Winhoven | Certified Nurse Midwife (cnm) | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Francesca A O'brien | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Eric J Leute | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Kelley J De Leeuw | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Dana A Ryan | Internal Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Bedeania R Zurek | Clinical Social Worker | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Courtney A Summers-day | Family Practice | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Street Address |
949 PALM AVE |
| City | IMPERIAL BEACH |
| State | CA |
| Zip | 91932-1503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Calzada | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Randall A Roark | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Danielle M Richardson | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Judith Ann Winhoven | Certified Nurse Midwife (cnm) | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Francesca A O'brien | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Eric J Leute | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Kelley J De Leeuw | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Dana A Ryan | Internal Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Bedeania R Zurek | Clinical Social Worker | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Courtney A Summers-day | Family Practice | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadeeq Sadiq | Emergency Medicine | 600 Palm Ave, 108a, Imperial Beach, CA 91932-1200 | |
| Vernon Gregory Phillips | Family Medicine | 707 Palm Ave, Imperial Beach, CA 91932-1229 | |
| Daniel William Johnson | Family Practice | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Abraham Hanono | Optometry | Imperial Beach Optometry | 894 Palm Ave, Suite B, Imperial Beach, CA 91932-1573 |
| Helfon Hanono | Optometry | Imperial Beach Optometry | 894 Palm Ave, Suite B, Imperial Beach, CA 91932-1573 |
| Kimberly S Dickson | Family Medicine | 1008 Ocean Ln, Imperial Beach, CA 91932-2556 | |
| Paul Roh | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Thomas Williams Russell | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Alex Kelso | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Bryan Mcleod | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Find all physicians in zip 91932 | |||
| City | IMPERIAL BEACH |
| Zip Code | 91932 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | IMPERIAL BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Faith P Chisum.
| 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.