Addy Squarer (NPI# 1679581425, PAC ID# 8123181674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1679581425 |
| PAC ID by PECOS | 8123181674 |
| Professional Enrollment ID | I20120717000526 |
| Full Name | Addy Squarer |
| Organization Legal Name | EL CAMINO MEDICAL ASSOCIATES PC |
| Address |
828 S Winchester Blvd San Jose CA 95128-2930 |
| Phone Number | 4088664000 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991963126 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050038 | SANTA CLARA VALLEY MEDICAL CENTER |
| 050308 | EL CAMINO HOSPITAL |
| 050380 | GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 828 S Winchester Blvd, San Jose, CA 95128-2930 | 4088664000 | EL CAMINO MEDICAL ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 1% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 1% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 61% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 61% |
| Organization Legal Name | EL CAMINO MEDICAL ASSOCIATES PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mathilde Moazazi | Family Medicine | El Camino Medical Associates PC | 828 S Winchester Blvd, San Jose, CA 95128-2930 |
| Maria K Teng | Nurse Practitioner | El Camino Medical Associates PC | 2660 Grant Rd, Suite F, Mountain View, CA 94040-4344 |
| Anahid Hekmat | Sleep Medicine | El Camino Medical Associates PC | 2490 Hospital Dr, Suite 212, Mountain View, CA 94040-4125 |
| Divya Prabhu | Neurology | El Camino Medical Associates PC | 2490 Hospital Dr, Suite 102, Mountain View, CA 94040-4124 |
| Jiali Li | Hematology/oncology | El Camino Medical Associates PC | 2660 Grant Rd, Suite F, Mountain View, CA 94040-4344 |
| Shane Paul Dormady | Hematology/oncology | El Camino Medical Associates PC | 2660 Grant Rd, Suite F, Mountain View, CA 94040-4344 |
| Prasanna Menon | Obstetrics/gynecology | El Camino Medical Associates PC | 2204 Grant Rd, Suite 202, Mountain View, CA 94040-3877 |
| Catherine A Collings | Internal Medicine | El Camino Medical Associates PC | 2490 Hospital Dr, Suite 212, Mountain View, CA 94040-4125 |
| Vijaya Dudyala | Internal Medicine | El Camino Medical Associates PC | 828 S Winchester Blvd, San Jose, CA 95128-2930 |
| Katrina Chaung | Otolaryngology | El Camino Medical Associates PC | 2204 Grant Rd, Suite 102, Mountain View, CA 94040-3877 |
| Street Address |
828 S WINCHESTER BLVD |
| City | SAN JOSE |
| State | CA |
| Zip | 95128-2930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mathilde Moazazi | Family Medicine | El Camino Medical Associates PC | 828 S Winchester Blvd, San Jose, CA 95128-2930 |
| Vijaya Dudyala | Internal Medicine | El Camino Medical Associates PC | 828 S Winchester Blvd, San Jose, CA 95128-2930 |
| Richard A Ornelas | Internal Medicine | El Camino Medical Associates PC | 828 S Winchester Blvd, San Jose, CA 95128-2930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dyron Jake Jue | Endocrinology | 2101 Forest Ave, Suite 100, San Jose, CA 95128-1099 | |
| Renee D Ownbey | Chiropractic | 1360 N Winchester Blvd, Suite 5, San Jose, CA 95128-1150 | |
| Thomas J Osborne | Chiropractic | 1305 N Bascom Ave, Suite C, San Jose, CA 95128-1248 | |
| Robert K Lin | General Practice | 888 N Winchester Blvd, San Jose, CA 95128-1353 | |
| Patrick Francis Gartland | General Surgery | 2100 Forest Ave, Suite 103, San Jose, CA 95128-1422 | |
| Bruce R Huffer | Orthopedic Surgery | 2100 Forest Ave, Suite 107, San Jose, CA 95128-1422 | |
| Khoa Dang Nguyen | Ophthalmology | 2100 Forest Ave, Suite 105, San Jose, CA 95128-1422 | |
| Dan-anh T Nguyen | Obstetrics/gynecology | 2100 Forest Ave, Suite 105, San Jose, CA 95128-1422 | |
| Robert Edmond Neger | Ophthalmology | 2100 Forest Ave, Suite 110, San Jose, CA 95128-1422 | |
| Michael T Charney | Infectious Disease | 2100 Forest Ave, Suite 106, San Jose, CA 95128-1422 | |
| Find all physicians in zip 95128 | |||
| City | SAN JOSE |
| Zip Code | 95128 |
| Specialty | NEPHROLOGY |
| City + Specialty | SAN JOSE + NEPHROLOGY |
Please comment or provide details below to improve the information on Addy Squarer.
| 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.