John C Petitt (NPI# 1497992432, PAC ID# 7416925466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497992432 |
| PAC ID by PECOS | 7416925466 |
| Professional Enrollment ID | I20040917001072 |
| Full Name | John C Petitt |
| Organization Legal Name | SOUTHERN CALIFORNIA MEDICAL CENTER INC |
| Address |
14550 Haynes St Van Nuys CA 91411-1613 |
| Phone Number | 8186506700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
| 14550 Haynes St, Van Nuys, CA 91411-1613 | 8186506700 | SOUTHERN CALIFORNIA MEDICAL CENTER INC |
| Organization Legal Name | SOUTHERN CALIFORNIA MEDICAL CENTER INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Nettles | Physician Assistant | Southern California Medical Center Inc | 12100 Valley Blvd, 109a, El Monte, CA 91732-3161 |
| 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 |
| 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 |
14550 HAYNES ST |
| City | VAN NUYS |
| State | CA |
| Zip | 91411-1613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damian Robledo | Clinical Social Worker | 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijaya K Katukota | Internal Medicine | El Dorado Community Service Center | 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1127 |
| Jobert B Poblete | Psychiatry | San Fernando Valley Community Mental Health Center | 14515 Hamlin St, Suite 200, Van Nuys, CA 91411-1608 |
| Seung Kyum Lee | Psychiatry | San Fernando Valley Community Mental Health Center | 14515 Hamlin St, Suite 200, Van Nuys, CA 91411-1608 |
| Albemar M Espiritu | Podiatry | Malkhas Medical Group Inc | 14555 Hamlin St, Suite 108, Van Nuys, CA 91411-1617 |
| Asher Ram | Internal Medicine | 14547 Victory Blvd, Van Nuys, CA 91411-1619 | |
| Myung Hoon Lee | Family Medicine | 14614 Victory Blvd, Van Nuys, CA 91411-1621 | |
| Simon Nazarian | Chiropractic | 14540 Victory Blvd, Suite 101, Van Nuys, CA 91411-1697 | |
| Issac Weintraub | Family Practice | Issac Weintroub Md Inc | 14540 Victory Blvd, Van Nuys, CA 91411-1698 |
| Garo K Tchakian | Chiropractic | 14558 Sylvan St, Suite 201, Van Nuys, CA 91411-2324 | |
| Michael B Khoury | Optometry | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | |
| Find all physicians in zip 91411 | |||
| City | VAN NUYS |
| Zip Code | 91411 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VAN NUYS + 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.