Kelsey Christine Van Bokkem (NPI# 1609305697, PAC ID# 8527490960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1609305697 |
| PAC ID by PECOS | 8527490960 |
| Professional Enrollment ID | I20191122002152 |
| Full Name | Kelsey Christine Van Bokkem |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Address |
2315 Otay Lakes Rd Suite 306 Chula Vista CA 91915-1162 |
| Phone Number | 9497609222 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9537345665 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2315 Otay Lakes Rd, Suite 306, Chula Vista, CA 91915-1162 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Pourazima | Physician Assistant | Marque Medical Clinic, Inc. | 8970 Knott Ave, Buena Park, CA 90620-4137 |
| Jacqueline R Weir | Physician Assistant | Marque Medical Clinic, Inc. | 4490 Fanuel St, Suite 100, San Diego, CA 92109-8737 |
| Les A Mershon | Physician Assistant | Marque Medical Clinic, Inc. | 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 |
| Jin Suk C Kim | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Erin E Wood | Physician Assistant | Marque Medical Clinic, Inc. | 26831 Aliso Creek Rd, Suite 200, Aliso Viejo, CA 92656-5341 |
| Robert C Walker | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Robert M Masoner | Internal Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Brian Jeffry Jackson | Nurse Practitioner | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Nathan A Kiskila | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Philip Regis Fagan | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Street Address |
2315 OTAY LAKES RD SUITE 306 |
| City | CHULA VISTA |
| State | CA |
| Zip | 91915-1162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol M Surrey | Audiologist | Hearx West Inc | 2220 Otay Lakes Rd, Chula Vista, CA 91915-1002 |
| John M Maher | Diagnostic Radiology | Sutter Bay Medical Foundation | 1141 Crystal Downs Dr, Chula Vista, CA 91915-1223 |
| Thomas F Osborne | Diagnostic Radiology | Virtual Radiologic Professionals of California Pa | 1141 Crystal Downs Dr, Chula Vista, CA 91915-1223 |
| City | CHULA VISTA |
| Zip Code | 91915 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHULA VISTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kelsey Christine Van Bokkem.
| 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.