Jed A Santa Maria (NPI# 1154642239, PAC ID# 6709056955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1154642239 |
| PAC ID by PECOS | 6709056955 |
| Professional Enrollment ID | I20110826000314 |
| Full Name | Jed A Santa Maria |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Address |
452 Devonshire Dr Brea CA 92821-6014 |
| Phone Number | 9858674050 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1951552900 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050557 | MEMORIAL MEDICAL CENTER |
| 300029 | PORTSMOUTH REGIONAL HOSPITAL |
| 300017 | PARKLAND MEDICAL CENTER |
| 190176 | TULANE MEDICAL CENTER |
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 452 Devonshire Dr, Brea, CA 92821-6014 | 9858674050 | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| 452 Devonshire Dr, Brea, CA 92821-6014 | 9525951100 | SUTTER BAY MEDICAL FOUNDATION |
| 452 Devonshire Dr, Brea, CA 92821-6014 | VIRTUAL RADIOLOGIC PROFESSIONALS OF CALIFORNIA PA | |
| 452 Devonshire Dr, Brea, CA 92821-6014 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 105 Mighty Oak, Irvine, CA 92602-1815 | 9525951100 | SUTTER BAY MEDICAL FOUNDATION |
| 17 Mistral Ln, Irvine, CA 92617-4110 | 3109241442 | SUTTER VALLEY MEDICAL FOUNDATION |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Atkinson | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 5827 Cedar Hill Way, San Antonio, TX 78253-5530 |
| Kenton E Kagy | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 722 Catalina Aisle St, Las Vegas, NV 89138-4608 |
| Kathryn Elizabeth Pflug | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 95 Judge Tanner Blvd, Covington, LA 70433-7500 |
| Ketan C Davae | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 156 Dedham St, Canton, MA 02021-1509 |
| Carla V Ramas | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 1417 Ne 27th St, Fort Lauderdale, FL 33334-4344 |
| Alison M Robinette | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 9290 E Thompson Peak Pkwy, Unit 240, Scottsdale, AZ 85255-4512 |
| Dennis Patrick Lindfors | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 822 24th Ave Nw, Gig Harbor, WA 98335-7850 |
| Danielle M Weems | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 3005 Sunset Hills Blvd S, Edwardsville, IL 62025-3734 |
| Alan J Kopp | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 22 E 1st St, Suite 6, New York, NY 10003-9384 |
| Julie K Shaffrey | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 6 Old Manor Ct, Reisterstown, MD 21136-5664 |
| Street Address |
452 DEVONSHIRE DR |
| City | BREA |
| State | CA |
| Zip | 92821-6014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Lebby | Sleep Medicine | 500 S Kraemer Blvd, Suite 240, Brea, CA 92821-1711 | |
| Christina T Velosoyap | Physical Therapy | Encore Wellness Physical Therapy Inc | 1277 W Central Ave, Brea, CA 92821-2407 |
| Nehal G Patel | Hospice/palliative Care | Palliative Care Physicians Group Inc | 875 N Brea Blvd, Kindred Brea, Brea, CA 92821-2606 |
| Chirag D Bhavsar | Family Medicine | Palliative Care Physicians Group Inc | 875 N Brea Blvd, Brea, CA 92821-2606 |
| Farhan Khabaz | Pulmonary Disease | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| John William Zamarra | Internal Medicine | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| David Scarpino | Psychiatry | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| Robert E Record | Psychologist, Clinical | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| Michael Jaroslav Stastny | Podiatry | 576 Archwood Ave, Brea, CA 92821-2707 | |
| Chao-i Lin | Allergy/immunology | Allergy Partners of California, Inc | 400 W Central Ave, Suite 100, Brea, CA 92821-3007 |
| Find all physicians in zip 92821 | |||
| City | BREA |
| Zip Code | 92821 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BREA + DIAGNOSTIC RADIOLOGY |
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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.