Brian T Dam (NPI# 1104337054, PAC ID# 9537490180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104337054 |
| PAC ID by PECOS | 9537490180 |
| Professional Enrollment ID | I20191011001044 |
| Full Name | Brian T Dam |
| Organization Legal Name | HEALTHCARE SERVICE PARTNERS INC |
| Address |
27700 Medical Ctr Rd Mission Viejo CA 92691-6426 |
| Phone Number | 9493641400 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648557363 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050069 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 | 9493641400 | HEALTHCARE SERVICE PARTNERS INC |
| 1100 W Stewart Dr, Orange, CA 92868-3849 | 7149339111 | HEALTHCARE SERVICE PARTNERS INC |
| Organization Legal Name | HEALTHCARE SERVICE PARTNERS INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Taylor | Physician Assistant | Healthcare Service Partners Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Danielle A Swanson | Physician Assistant | Healthcare Service Partners Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Eric J Dietrich | Physician Assistant | Healthcare Service Partners Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Joseph P Chen | Physician Assistant | Healthcare Service Partners Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Dan G Raphael | Physician Assistant | Healthcare Service Partners Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Street Address |
27700 MEDICAL CTR RD |
| City | MISSION VIEJO |
| State | CA |
| Zip | 92691-6426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn T Tanner | Diagnostic Radiology | Coast Radiology Imaging and Intervention Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| James S Wickham | Anesthesiology | Western Anesthesia Medical Associates Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Jeffrey M Dym | Diagnostic Radiology | Coast Radiology Imaging and Intervention Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| James A Cushing | Physical Medicine and Rehabilitation | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 | |
| Patrick Magoon | Diagnostic Radiology | Coast Radiology Imaging and Intervention Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Jordan M Black | Anesthesiology | Western Anesthesia Medical Associates Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Matthew P Weber | Emergency Medicine | Mission Viejo Emergency Medical Associates | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6474 |
| Edward E Weng | General Surgery | Acute Care Surgery Medical Group Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Danielle A Swanson | Physician Assistant | Healthcare Service Partners Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Waikeong P Wong | Diagnostic Radiology | Coast Radiology Imaging and Intervention Inc | 27700 Medical Ctr Rd, Mission Viejo, CA 92691-6426 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard L Kim | Neurology | Neuralview Medical Group PC | 27246 Villanueva, Mission Viejo, CA 92691-2139 |
| Kim C Till | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Abigail Mecham | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Daniel Kanoa Bever | Physical Therapy | Southland Physical Therapy Inc | 25565 Jeronimo Rd, Mission Viejo, CA 92691-2707 |
| Marina A Ball | Dermatology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Kevin R Yuhan | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| My-lan Le-nguyen | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Keith J Pince | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Pauline Chang Uehara | Optometry | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Michael Kim | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Find all physicians in zip 92691 | |||
| City | MISSION VIEJO |
| Zip Code | 92691 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MISSION VIEJO + PHYSICIAN ASSISTANT |
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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.