Alan Cantillep (NPI# 1639517808, PAC ID# 7911255187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1639517808 |
| PAC ID by PECOS | 7911255187 |
| Professional Enrollment ID | I20180803000767 |
| Full Name | Alan Cantillep |
| Organization Legal Name | BALBOA NEPHROLOGY MEDICAL GROUP INC |
| Address |
11100 Warner Ave Suite 218 Fountain Valley CA 92708-7511 |
| Phone Number | 7146419696 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 9638164015 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050570 | FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER |
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| 050678 | ORANGE COAST MEMORIAL MEDICAL CENTER |
| 050747 | SOUTH COAST GLOBAL MEDICAL CENTER |
| 050526 | HUNTINGTON BEACH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7511 | 7146419696 | BALBOA NEPHROLOGY MEDICAL GROUP INC |
| Organization Legal Name | BALBOA NEPHROLOGY MEDICAL GROUP INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajeet S Sawhney | Nephrology | Balboa Nephrology Medical Group Inc | 3300 Vista Way, Suite B, Oceanside, CA 92056-3633 |
| Joshua K Greenstein | Nephrology | Balboa Nephrology Medical Group Inc | 631 E Grand Ave, Escondido, CA 92025-4402 |
| Masoud Afshar | Nephrology | Balboa Nephrology Medical Group Inc | 737 W Hobsonway, Blythe, CA 92225-1514 |
| Kristian L Brown | General Surgery | Balboa Nephrology Medical Group Inc | 4060 4th Ave, Suite 220, San Diego, CA 92103-2120 |
| Vijayalakshmi Wijeyakumar | Nephrology | Balboa Nephrology Medical Group Inc | 3300 Vista Way, Suite B, Oceanside, CA 92056-3633 |
| Ajit S Sawhney | Nephrology | Balboa Nephrology Medical Group Inc | 4060 4th Ave, Suite 220, San Diego, CA 92103-2120 |
| Enjoli B Spaulding | Nurse Practitioner | Balboa Nephrology Medical Group Inc | 631 E Grand Ave, Escondido, CA 92025-4402 |
| Fabiola Carapia | Nurse Practitioner | Balboa Nephrology Medical Group Inc | 4060 4th Ave, Suite 220, San Diego, CA 92103-2120 |
| Abraham Daneshvar | Physician Assistant | Balboa Nephrology Medical Group Inc | 4060 4th Ave, Suite 220, San Diego, CA 92103-2120 |
| Fharak Maa Chip | Nephrology | Balboa Nephrology Medical Group Inc | 655 Euclid Ave, Suite 303, National City, CA 91950-2975 |
| Street Address |
11100 WARNER AVE SUITE 218 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip | 92708-7511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Devereaux | Family Medicine | 11100 Warner Ave, Suite 100, Fountain Valley, CA 92708-7500 | |
| Hung-chuan Cheng | Family Medicine | 11100 Warner Ave, Suite 118, Fountain Valley, CA 92708-7500 | |
| Elizabeth T Nghiem | Infectious Disease | 11100 Warner Ave, Suite 158, Fountain Valley, CA 92708-4005 | |
| Joseph N Gregurich | Family Medicine | 11100 Warner Ave, Suite 112, Fountain Valley, CA 92708-7500 | |
| Andrew A Ceavatta | Dermatology | 11100 Warner Ave, Suite 264, Fountain Valley, CA 92708-7512 | |
| Tim T Lai | Neurology | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7510 | |
| Farid Shakibai | Cardiovascular Disease (cardiology) | 11100 Warner Ave, Suite 110, Fountain Valley, CA 92708-7500 | |
| James J Park | Neurology | 11100 Warner Ave, Suite 256, Fountain Valley, CA 92708-7502 | |
| Kathryn R Rigonan | Internal Medicine | 11100 Warner Ave, Suite 154, Fountain Valley, CA 92708-7510 | |
| Minsen Mok | Internal Medicine | 11100 Warner Ave, Suite 362, Fountain Valley, CA 92708-7513 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ranjan Sapra | Hematology/oncology | 11190 Warner Ave, Suite 405, Fountain Valley, CA 92708-0000 | |
| Kinh Tu Tran | Family Medicine | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Hiep Truong | Obstetrics/gynecology | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Anh Linh T Nguyen | Optometry | 16125 Harbor Blvd, Fountain Valley, CA 92708-1305 | |
| Hoang T Nguyen | Internal Medicine | 16040 Harbor Blvd G, Fountain Valley, CA 92708-1327 | |
| Tuan Manh Hoang | Oral Surgery | 16045 Brookhurst St, Fountain Valley, CA 92708-1544 | |
| Raif W Iskander | Physician Assistant | Xtra Care Medical Group | 16171 Brookhurst St, Fountain Valley, CA 92708-1550 |
| Phong Huy Bui | Internal Medicine | 16055 Brookhurst St, Suite C, Fountain Valley, CA 92708-1566 | |
| Gordon K Ota | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Kim Nhat Nguyen Le Huynh | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Find all physicians in zip 92708 | |||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
| Specialty | NEPHROLOGY |
| City + Specialty | FOUNTAIN VALLEY + NEPHROLOGY |
Please comment or provide details below to improve the information on Alan Cantillep.
| 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.