Vikram M Udani (NPI# 1093959108, PAC ID# 7810153145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1093959108 |
| PAC ID by PECOS | 7810153145 |
| Professional Enrollment ID | I20120731000604 |
| Full Name | Vikram M Udani |
| Organization Legal Name | PACIFIC NEUROSURGERY AND SPINE MEDICAL GROUP INC |
| Address |
3590 Camino Del Rio N Suite 200 San Diego CA 92108-1707 |
| Phone Number | 6198101010 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 1951319383 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| 050324 | SCRIPPS MEMORIAL HOSPITAL LA JOLLA |
| 050077 | SCRIPPS MERCY HOSPITAL |
| 050222 | SHARP CHULA VISTA MEDICAL CENTER |
| 050503 | SCRIPPS MEMORIAL HOSPITAL - ENCINITAS |
| Address | Phone | Organization |
|---|---|---|
| 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 | 6198101010 | PACIFIC NEUROSURGERY AND SPINE MEDICAL GROUP INC |
| 3590 Camino Del Rio N, Suite 103, San Diego, CA 92108-1707 | 6198101010 | SENTA CLINIC, INC. |
| 7901 Frost St, San Diego, CA 92123-2701 | 8589393400 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PACIFIC NEUROSURGERY AND SPINE MEDICAL GROUP INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Elise Frantz | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Joseph E Roberts | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Angela Viers | Neurosurgery | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Alexa R Smith | Neurosurgery | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Felix M Regala | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Cassie Petit | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Amanda W Gumbert | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Ashley N Ryan | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 6645 Alvarado Rd, Suite 4000, San Diego, CA 92120-5208 |
| Street Address |
3590 CAMINO DEL RIO N SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92108-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Allen Belverud | Neurosurgery | Senta Clinic, Inc. | 3590 Camino Del Rio N, Suite 103, San Diego, CA 92108-1707 |
| Deborah Elise Frantz | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Jason D Toranto | Plastic and Reconstructive Surgery | Senta Clinic, Inc. | 3590 Camino Del Rio N, Suite 103, San Diego, CA 92108-1707 |
| Joseph E Roberts | Physician Assistant | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Jeannine Shively | Physician Assistant | Brian H Weeks Md Inc | 3590 Camino Del Rio N, Suite 102, San Diego, CA 92108-1707 |
| Perry T Mansfield | Otolaryngology | 3590 Camino Del Rio N, Suite 100, San Diego, CA 92108-1716 | |
| Lucia Kearney | Qualified Audiologist | Chears Inc | 3590 Camino Del Rio N, Suite 201, San Diego, CA 92108-1707 |
| Angela Viers | Neurosurgery | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Alexa R Smith | Neurosurgery | Pacific Neurosurgery and Spine Medical Group Inc | 3590 Camino Del Rio N, Suite 200, San Diego, CA 92108-1707 |
| Bruno C Claudino Ramos Flores | Neurology | Senta Clinic, Inc. | 3590 Camino Del Rio N, Suite 103, San Diego, CA 92108-1707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Mccarter | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 5353 Mission Ctr Rd, Suite 224, San Diego, CA 92108-1304 |
| Lauren Fernberg | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Robert Brasley | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Nicole Murphy | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Shawn Laird | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Grant Meyer | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Pouya Afshar | Hospitalist | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 | |
| Anand N Patel | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Neal Allan Dunitz | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Moreno | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Find all physicians in zip 92108 | |||
| City | SAN DIEGO |
| Zip Code | 92108 |
| Specialty | NEUROSURGERY |
| City + Specialty | SAN DIEGO + NEUROSURGERY |
Please comment or provide details below to improve the information on Vikram M Udani.
| 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.